Individual provider Active NPI

Stephen Karim Lutzak

  • Family Medicine Physician
  • Franklin, TN
National Provider Identifier
1497738462
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD24074 Issued in TN
Practice address
4323 Carothers Parkway
Suite 300
Franklin, TN 37067
Phone
(615) 791-8888
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD24074 TN
Family Medicine Physician 207Q00000X MD24074 TN Primary
Sports Medicine (Family Medicine) Physician 207QS0010X MD24074 TN

Addresses

Primary practice location

4323 Carothers Parkway
Suite 300
Franklin, TN 37067

Mailing address

4323 Carothers Parkway
Suite 300
Franklin, TN 37067
Phone (615) 791-8888

Other identifiers 1

IdentifierTypeStateIssuer
3812453MedicaidTN

Other names 1

  • Dr. Karim Stephen Lutzak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041002000190 TN Practitioner - Emergency MedicinePractitioner - Family Practice 2062481336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergi-TrustGroup PAC ID 3375448699, 17 clinicians

Practice addresses (Care Compare)

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (781) 280-1640

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Merit-based Incentive Payment System (MIPS)

Final score
80.65 of 100Reported as group
Quality
78.55
Improvement activities
40
Cost
74.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24074TNMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergi-Trust Emergency Medicine CurrentSince Mar 6, 2021 Accepting new patients
Williamson County Hospital District Past Accepting new patients
Williamson Hospitalist Program Past Accepting new patients

Locations

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

Organizations & group practices 3

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 1

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1497738462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PARKWAY",
            "address_2": "SUITE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-791-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PARKWAY",
            "address_2": "SUITE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-791-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZAK",
        "first_name": "STEPHEN",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD24074",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD24074",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "MD24074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812453",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIM",
            "last_name": "LUTZAK",
            "middle_name": "STEPHEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.