Individual provider Active NPI

Richard Frank Lutinski, D.O.

  • Family Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1477653046
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
121943-1 Issued in NY
Practice address
5111 N Catherine St
Plattsburgh, NY 12901-3379
Phone
(518) 563-8181
Fax
(518) 561-1891
NPI assigned
Sep 24, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 121943-1 NY Primary

Addresses

Primary practice location

5111 N Catherine St
Plattsburgh, NY 12901-3379

Mailing address

5111 N Catherine St
Plattsburgh, NY 12901-3379
Phone (518) 563-8181

Other identifiers 2

IdentifierTypeStateIssuer
53036AOtherMEDICARE GROUP
53036BOtherMEDICARE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121943-1NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1477653046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N CATHERINE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013379",
            "telephone_number": "518-563-8181",
            "fax_number": "518-561-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N CATHERINE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013379",
            "telephone_number": "518-563-8181",
            "fax_number": "518-561-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTINSKI",
        "first_name": "RICHARD",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "121943-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "53036A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "53036B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.