Individual provider Active NPI

Asuncion Q Luz, MD

  • Pediatrics Physician
  • Adrian, MI
National Provider Identifier
1497758650
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301032216 Issued in MI
Practice address
770 Riverside Ave
Suite 17
Adrian, MI 49221-1476
Phone
(517) 265-8134
Fax
(517) 265-2237
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301032216 MI Primary

Addresses

Primary practice location

770 Riverside Ave
Suite 17
Adrian, MI 49221-1476

Mailing address

770 Riverside Ave
Suite 17
Adrian, MI 49221-1476
Phone (517) 265-8134

Other identifiers 1

IdentifierTypeStateIssuer
3331080MedicaidMI

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301032216MIMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1497758650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "SUITE 17",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-265-8134",
            "fax_number": "517-265-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "SUITE 17",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-265-8134",
            "fax_number": "517-265-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZ",
        "first_name": "ASUNCION",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301032216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.