Individual provider Active NPI

Joseph Luzius, MD

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1295874287
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2008-0720 Issued in NM
Practice address
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone
(505) 248-4012
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2008-0720 NM Primary

Addresses

Primary practice location

801 Vassar Dr NE
Albuquerque, NM 87106-2725

Mailing address

4208 Camelback Rd NW
Albuquerque, NM 87114-5655
Phone (505) 897-1600

Other identifiers 5

IdentifierTypeStateIssuer
2008-0720OtherNMNM MEDICAL LICENSE
CS00214005OtherNMNM CS LICENSE
8H1921OtherNMMEDIACARE B
2198686MedicaidNM
3297594OtherNMBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090330000297 TX Practitioner - Psychiatry 1153488598 Reassigns benefits to 2 organizations
I20141223000079 NM Practitioner - Psychiatry 1153488598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Sanford School of Medicine of University of South Dakota, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kewa Pueblo Health CorporationGroup PAC ID 7618137779, 29 clinicians

Practice addresses (Care Compare)

85 W Hwy 22
Santo Domingo Pueblo, NM 87052-1283
Phone (505) 465-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-0720NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kewa Pueblo Health Corporation CurrentSince Oct 27, 2014 Accepting new patients
Pueblo of Jemez CurrentSince Oct 18, 2011 Accepting new patients
Pueblo of Jemez CurrentSince Oct 18, 2011 Accepting new patients
Pueblo of Isleta Past Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients

Locations

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1295874287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 CAMELBACK RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145655",
            "telephone_number": "505-897-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZIUS",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "2008-0720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MEDICAL LICENSE",
            "identifier": "2008-0720",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM CS LICENSE",
            "identifier": "CS00214005",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIACARE B",
            "identifier": "8H1921",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2198686",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3297594",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.