Annette Lusko, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006726 Issued in AZ

Practice address

1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098

Phone

(480) 507-3188

NPI assigned

Jun 27, 2012

Last updated

May 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, DC2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Bridges IncGroup PAC ID 2062699721, shared by 3 NPIs, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annette.luskodo.p1@direct.cbridges.nextgenshare.com

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.

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment NPD
• Heritage Technologies, LLC

  dba Desert Grove Family Medical

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1093764938
  Medicare reassignment NPD
• Teris Health Services LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1215422126
  Medicare reassignment NPD
• Community Bridges, Inc.

  dba District of Columbia Stabilization and Sobering Center (DCSSC)

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1285321158
  Medicare reassignment NPD
• Community Bridges, Inc

  dba Lighthouse

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
  • NPI 1861722175
  NPD
• Community Bridges, Inc.

  dba Central City Addiction Recovery Center - Outpatient

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1235849993
  NPD
• Community Bridges, Inc.

  dba Toole Outpatient Service Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1427596196
  NPD
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1508124488
  NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Teri's Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1790374833
  NPD
• Community Bridges, Inc.

  dba East Valley Addiction Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
  • NPI 1134240328
  NPD (past)
• Community Bridges, Inc.

  dba Central City Addiction Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1295857084
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1487918181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029098",
            "telephone_number": "480-390-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029098",
            "telephone_number": "480-507-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSKO",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11016763A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Marie Luong, NP
• Joanne Kirsten Lupe, MS CCC SLP
• Michelle D Lupien, RN
• Lupine Solutions Corp (Lupine Solutions)
• Dalton Lupini
• Douglas Lusko
• Krysten A Luthardt, NP-C
• Lutheran Association of Missionaries and Pilots U.S., Inc. (Lutheran Indian Ministries)
• Susan Diane Luttjohann
• Robert Lutton

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.

Verify at the official NPI Registry.