Active NPI
Nina L Luxenberg, M.D.
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 82209
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01098664 | Other | FL | RAILROAD |
| 14L4C | Other | FL | BLUE CROSS AND BLUE SHIELD |
| 005546000 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 82209 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| St Joseph'S Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| St Joseph'S Diagnostic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Morton Plant Mease Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | 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 | Past | 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 | Past | 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.
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Diagnostic Radiology
-
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-
- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- NPI 1821527474
-
- Diagnostic Radiology Physician
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- NPI 1326208695
-
- Physiological Laboratory
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- NPI 1831800952
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Diagnostic Radiology
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- Boca Raton, FL
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.