Individual provider Active NPI

Norman A Luban I, M.D.

  • Neurology Physician
  • Kensington, MD
National Provider Identifier
1295773794
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D14418 Issued in MD
Practice address
10400 Connecticut Ave
Suite 304
Kensington, MD 20895-3910
Phone
(301) 949-0607
Fax
(301) 949-6603
NPI assigned
Jun 4, 2006
Last updated
Feb 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D14418 MD Primary

Addresses

Primary practice location

10400 Connecticut Ave
Suite 304
Kensington, MD 20895-3910

Mailing address

10400 Connecticut Ave
Suite 304
Kensington, MD 20895-3910
Phone (301) 949-0607

Other identifiers 7

IdentifierTypeStateIssuer
0465610MedicaidDC
54318302OtherMDBC BS MARYLAND
2056509OtherDCAETNA
498185OtherDCNCPPO
130015147OtherDCRAILROAD MEDICARE
1823 0001OtherDCBLUE CROSS OF DC
310871600MedicaidDC

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

State licenses

LicenseStateTypeSpecialty
D14418MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1295773794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE",
            "address_2": "SUITE 304",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953910",
            "telephone_number": "301-949-0607",
            "fax_number": "301-949-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE",
            "address_2": "SUITE 304",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953910",
            "telephone_number": "301-949-0607",
            "fax_number": "301-949-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBAN",
        "first_name": "NORMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D14418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465610",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS MARYLAND",
            "identifier": "54318302",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2056509",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "498185",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130015147",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF DC",
            "identifier": "1823 0001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310871600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.