Active NPI
Rixt Anna Catharina Luikenaar, MD
- Obstetrics & Gynecology Physician
- Holladay, UT
National Provider Identifier
1285688101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 53099731205
- Practice address
- 2180 E 4500 S Ste 265
Holladay, UT 84117-4024 - Phone
- (801) 272-3909
- Fax
- (801) 272-3902
- NPI assigned
- May 22, 2006
- Last updated
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 53099731205 | UT | Primary |
Addresses
Primary practice location
2180 E 4500 S Ste 265
Holladay, UT 84117-4024
Mailing address
2180 E 4500 S Ste 265
Holladay, UT 84117-4024
Phone (801) 272-3909
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378821200 | Other | UT | DOL GRP 22 |
| 813565 | Other | UT | DMBA |
| D5070 | Medicaid | UT | |
| 97977 | Other | UT | U HEALTH PLANS |
| 73582 | Other | UT | PEHP GRP 22 |
| 53099731201001 | Other | UT | BCBS GRP 22 |
| QM0000068194 | Other | UT | ALTIUS |
| 107022141101 | Other | UT | IHC GRP 22 |
| 121269900 | Medicaid | UT | |
| TPRA07450 | Other | UT | MOLINA GRP 22 |
| 870616107RLU | Other | UT | EMIA GRP 22 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Sports Med | Past | Accepting new patients |
Interoperability endpoints
- rixt.luikenaar.1@12377.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Medicine (Family Medicine) Physician
- Salt Lake City, UT
- NPI 1699796706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1285688101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 E 4500 S STE 265",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841174024",
"telephone_number": "801-272-3909",
"fax_number": "801-272-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 E 4500 S STE 265",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841174024",
"telephone_number": "801-272-3909",
"fax_number": "801-272-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUIKENAAR",
"first_name": "RIXT",
"middle_name": "ANNA CATHARINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "53099731205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL GRP 22",
"identifier": "378821200",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "813565",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5070",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U HEALTH PLANS",
"identifier": "97977",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP GRP 22",
"identifier": "73582",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP 22",
"identifier": "53099731201001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000068194",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC GRP 22",
"identifier": "107022141101",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121269900",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA GRP 22",
"identifier": "TPRA07450",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA GRP 22",
"identifier": "870616107RLU",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.