Individual provider Active NPI

Luna U Sy, MD

  • Internal Medicine Physician
  • Ozark, AL
National Provider Identifier
1356455497
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00019210 Issued in AL
Practice address
324 White Ave
Ozark, AL 36360-0908
Phone
(334) 445-9101
Fax
(334) 445-3501
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00019210 AL Primary

Addresses

Primary practice location

324 White Ave
Ozark, AL 36360-0908

Mailing address

PO Box 190
Ozark, AL 36361-0190
Phone (334) 445-9101

Other identifiers 1

IdentifierTypeStateIssuer
009998295MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20050518000170 AL Practitioner - Internal MedicinePractitioner - Family Practice 2264473644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

324 White Ave
Ozark, AL 36360-0908
Phone (334) 445-9101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.08 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
83.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00019210ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luna U Sy, MD, PC Internal Medicine CurrentSince Apr 26, 2005 Accepting new patients

Locations

324 White Ave
Ozark, AL 36360
Phone (334) 445-0028

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1356455497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363610190",
            "telephone_number": "334-445-9101",
            "fax_number": "334-445-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WHITE AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363600908",
            "telephone_number": "334-445-9101",
            "fax_number": "334-445-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "LUNA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00019210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009998295",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.