Stanley Luksenburg, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36 002120 Issued in OH

Practice address

21724 Lorain Rd
Fairview Park, OH 44126-3334

Phone

(440) 356-1118

Fax

(216) 464-9242

NPI assigned

Feb 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onyx Health Group LLCGroup PAC ID 1850757014, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Onyx Health Group LLC

  • Podiatrist
  • Geneva, OH
  • NPI 1487373676
  Medicare reassignment Care Compare group NPD
• Stanley Luksenburg

  • Podiatrist
  • Fairview Park, OH
  • NPI 1124223532
  NPD (past) Authorized official
• Hospital Care Group, P.C.

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1295083624
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1407996069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21724 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263334",
            "telephone_number": "440-356-1118",
            "fax_number": "216-464-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21724 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263334",
            "telephone_number": "440-356-1118",
            "fax_number": "216-464-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKSENBURG",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36 002120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Listening Space LLC
• Emily Lockhart, LISW
• Theodore Emmanuel Loizos, MD
• Latricica Shantay Love
• Ronald J Luchini, DDS
• Luxottica of America Inc.
• Colleen Lynch, LCSW
• M & R of Fredricktown LTD Inc
• M Bashar Mamlouk MD Inc
• Colleen Mackay, M.S., CCC-SLP

• Podiatrist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.