Individual provider Active NPI

F Brobson Lutz, Jr., M.D.

  • Specialist
  • New Orleans, LA
National Provider Identifier
1477570141
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD012819 Issued in LA
Practice address
2622 Jena St
New Orleans, LA 70115-6325
Phone
(504) 895-0361
Fax
(504) 895-5631
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD012819 LA Primary

Addresses

Primary practice location

2622 Jena St
New Orleans, LA 70115-6325

Mailing address

2622 Jena St
New Orleans, LA 70115-6325
Phone (504) 895-0361

Other identifiers 1

IdentifierTypeStateIssuer
1146471MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101022000135 LA Practitioner - Internal MedicinePractitioner - Infectious Disease 7719038363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Tulane University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2622 Jena St
New Orleans, LA 70115-6325
Phone (504) 895-0361

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD012819LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Combs and Lutz CurrentSince Jan 1, 1978 Accepting new patients
DRS. Combs and Lutz CurrentSince Jan 1, 1978 Accepting new patients

Locations

501 Frenchmen St
New Orleans, LA 70116
Phone (504) 948-4331

2622 Jena St
New Orleans, LA 70115
Phone (504) 895-0361

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEAIBA/Endpoint/FEAIBA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1477570141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 JENA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156325",
            "telephone_number": "504-895-0361",
            "fax_number": "504-895-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 JENA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156325",
            "telephone_number": "504-895-0361",
            "fax_number": "504-895-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ, JR.",
        "first_name": "F",
        "middle_name": "BROBSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD012819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1146471",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.