Individual provider Active NPI

Savannah Asarisi Luft

  • Physician Assistant
  • Spanish Fort, AL
National Provider Identifier
1316610504
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2054 Issued in AL
Practice address
31615 Heidelbrook Loop
Spanish Fort, AL 36527-8509
Phone
(251) 680-0411
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2054 AL Primary

Addresses

Primary practice location

31615 Heidelbrook Loop
Spanish Fort, AL 36527-8509

Mailing address

31615 Heidelbrook Loop
Spanish Fort, AL 36527-8509
Phone (251) 680-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221104000772 AL Practitioner - Physician Assistant 3577930502 Reassigns benefits to 1 organization
I20231031000154 FL Practitioner - Physician Assistant 3577930502 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2054ALMDPhysician Assistant

Organizations & group practices 3

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1316610504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31615 HEIDELBROOK LOOP",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278509",
            "telephone_number": "251-680-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31615 HEIDELBROOK LOOP",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278509",
            "telephone_number": "251-680-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFT",
        "first_name": "SAVANNAH",
        "middle_name": "ASARISI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.