Active NPI
Kseniya Luz, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 205319
- Practice address
- 3100 SW 89TH St
Oklahoma City, OK 73159-7900 - Phone
- (405) 602-8100
- NPI assigned
- Sep 2, 2021
- Last updated
- Sep 2, 2021
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 205319 | OK | Primary |
Addresses
Primary practice location
3100 SW 89TH St
Oklahoma City, OK 73159-7900
Mailing address
1940 S Woodlawn Blvd Apt 203
Wichita, KS 67218-4747
Phone (617) 970-0519
Other practice location 1
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 W Macarthur St
Shawnee, OK 74804-1743
Phone (405) 878-8110
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.2 of 100
- Quality
- 93.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 93.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205319 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony Shawnee Hospital Inc | Current | Accepting new patients | |
| Hpi Physicians LLC | Current | Accepting new patients | |
| SSM Health Care of Oklahoma Inc | Current | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Current | Accepting new patients | |
| St. Anthony Shawnee Hospital, Inc. | Current | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Organizations & group practices 6
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.
-
dba St Anthony Shawnee Hospital
- Surgery Physician
- Shawnee, OK
- NPI 1619260411
-
- General Practice Physician
- Edmond, OK
- NPI 1205152600
-
dba SSM Health St Anthony Hospital - Oklahoma City
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
dba SSM Health St Anthony Hospital MWC Physicians Group
- Anesthesiology Physician
- Midwest City, OK
- NPI 1295493955
-
dba St Anthony Shawnee Hospital
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Shawnee, OK
- NPI 1912739020
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Anthony Shawnee Hospital
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1457029605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 S WOODLAWN BLVD APT 203",
"city": "WICHITA",
"state": "KS",
"postal_code": "672184747",
"telephone_number": "617-970-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597900",
"telephone_number": "405-602-8100"
}
],
"practiceLocations": [
{
"address_1": "200 Belle Terre Rd",
"address_purpose": "LOCATION",
"city": "Port Jefferson",
"state": "NY",
"postal_code": "117771928",
"country_code": "US",
"telephone_number": "631-474-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUZ",
"first_name": "KSENIYA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "205319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.