Active NPI
Cathy C Luo, M.D
- Specialist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E-4333
- Practice address
- 350 E Millsap Rd
Fayetteville, AR 72703-4098 - Phone
- (479) 587-1753
- Fax
- (479) 587-8754
- NPI assigned
- Aug 1, 2006
- Last updated
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E-4333 | AR | Primary |
Addresses
Primary practice location
350 E Millsap Rd
Fayetteville, AR 72703-4098
Mailing address
PO Box 9928
350 E Millsap Rd
Fayetteville, AR 72703-0034
Phone (479) 587-1753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 E Millsap Rd
Fayetteville, AR 72703-4098
Phone (479) 587-8753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management & Rehab Consult | Specialist | Current | Accepting new patients |
| Integrated Neuropsychological Services, LLC | Current | Accepting new patients | |
| Dr Ashok Kache MD Inc | Past | Accepting new patients |
Locations
153 E Monte Painter Dr
Fayetteville, AR 72703
Phone (479) 444-2200
350 E Millsap Rd
Fayetteville, AR 72703
Phone (479) 442-4495
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Neuropsychologist
- Fayetteville, AR
- NPI 1942746102
-
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
- NPI 1295914414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1417964859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9928",
"address_2": "350 E MILLSAP RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030034",
"telephone_number": "479-587-1753",
"fax_number": "479-587-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E MILLSAP RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034098",
"telephone_number": "479-587-1753",
"fax_number": "479-587-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUO",
"first_name": "CATHY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "E-4333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.