Active NPI
Norman A Luban I, M.D.
- Neurology Physician
- Kensington, MD
National Provider Identifier
1295773794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D14418
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465610 | Medicaid | DC | |
| 54318302 | Other | MD | BC BS MARYLAND |
| 2056509 | Other | DC | AETNA |
| 498185 | Other | DC | NCPPO |
| 130015147 | Other | DC | RAILROAD MEDICARE |
| 1823 0001 | Other | DC | BLUE CROSS OF DC |
| 310871600 | Medicaid | DC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D14418 | MD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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.