Individual provider Active NPI

Nina L Luxenberg, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1477536746
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
82209 Issued in FL
Practice address
655 W 8TH St # C90
Jacksonville, FL 32209-6511
Phone
(904) 244-9448
Fax
(904) 244-2116
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 82209 FL Primary

Addresses

Primary practice location

655 W 8TH St # C90
Jacksonville, FL 32209-6511

Mailing address

655 W 8TH St # C90
Jacksonville, FL 32209-6511
Phone (904) 244-9448

Other identifiers 3

IdentifierTypeStateIssuer
P01098664OtherFLRAILROAD
14L4COtherFLBLUE CROSS AND BLUE SHIELD
005546000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120531000268 FL Practitioner - Diagnostic Radiology 4981593654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82209FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Banner-University Medical Group Diagnostic Radiology Current Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Sep 9, 2018 Accepting new patients
St Joseph'S Diagnostic Center LLC Diagnostic Radiology CurrentSince Nov 6, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Diagnostic Radiology Current Accepting new patients
St Joseph'S Diagnostic Center LLC Diagnostic Radiology CurrentSince Nov 6, 2018 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Sep 9, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 1, 2019 Accepting new patients
Tulsa CT LLC Past Accepting new patients
Radiological Imaging of Oklahoma, L.L.C. Past Accepting new patients
Muhlenberg Heart Group Past Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients
Edison Imaging Associates, PA Past Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology PastSince Jul 1, 2009 Accepting new patients
Advanced Diagnostic Imaging LTD Diagnostic Radiology Past Accepting new patients
Radiology Consultants of Tulsa Inc Diagnostic Radiology Past Accepting new patients
Edison Radiology Group PA JFK Medical Center Diagnostic Radiology PastSince May 9, 2021 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

655 W 8th St
#C90
Jacksonville, FL 32209
Phone (904) 244-4225

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

1840 Mease Dr
Ste 103
Safety Harbor, FL 34695
Phone (727) 725-6463

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1477536746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST # C90",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-9448",
            "fax_number": "904-244-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST # C90",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-9448",
            "fax_number": "904-244-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUXENBERG",
        "first_name": "NINA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "82209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01098664",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "14L4C",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005546000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.