Wayne Luo, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

224349 Issued in NY

Practice address

911 Park Ave
Suite 1a
New York, NY 10021-0337

Phone

(212) 772-7242

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Dermatology

Education

Baylor College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Donna a Serure, Dermatology and Cosmetic Laser Surgery, PCGroup PAC ID 5991694564, 5 clinicians

Noam Glaser MD PCGroup PAC ID 0345214755, 3 clinicians

Garden City Dermatology, P.C.Group PAC ID 5395783955, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as group

Quality

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: wal9002@direct.nyp.org

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.

• Dr Donna a Serure, Dermatology & Cosmetic Laser Surgery, PC

  • Dermatology Physician
  • Smithtown, NY
  • NPI 1902959893
  Medicare reassignment Care Compare group NPD
• Garden City Dermatology, PC

  • Dermatopathology Physician
  • Garden City, NY
  • NPI 1881653194
  Medicare reassignment Care Compare group NPD
• Noam Glaser, M.D. PC

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1013121656
  Medicare reassignment Care Compare group NPD
• Rockville Dermatology, PC

  • Dermatology Physician
  • Rockville Centre, NY
  • NPI 1356349153
  Medicare reassignment NPD
• Laserderm Dermatology & Cosmetic Laser Surgery

  • Dermatopathology Physician
  • Smithtown, NY
  • NPI 1942150131
  NPD
• Austin FP

  • Ambulatory Surgical Clinic/Center
  • Garden City, NY
  • NPI 1932353265
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1346267192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "STE 201",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304883",
            "telephone_number": "212-772-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PARK AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210337",
            "telephone_number": "212-772-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "224349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Luo, PA-C
• Shiyin Luo, LMSW
• Shuxin Luo, BCBA
• Stacey Luo, RPH
• Tracy Luo
• Yiming Luo
• Ying Luo
• Yiweichen Luo
• Yunjing Luo
• Yuying Luo, MD

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.