Alan Richard Lustig, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0056761 Issued in FL

Practice address

1201 5TH Ave N
Ste 302
St Petersburg, FL 33705-1457

Phone

(727) 821-2388

Fax

(727) 821-6887

NPI assigned

Dec 6, 2005

Last updated

Oct 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Alan R Lustig MD PA

  • Nephrology Physician
  • St Petersburg, FL
  • NPI 1518153360
  Authorized official Same address or phone

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1538144167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "STE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051457",
            "telephone_number": "727-821-2388",
            "fax_number": "727-821-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "STE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051457",
            "telephone_number": "727-821-2388",
            "fax_number": "727-821-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "ALAN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0056761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR RETIREMENT MEDICARE",
            "identifier": "P00082790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Lung, LMFT, LMHC
• Jarryd D Lunger, MSN, APRN, PMHNP-BC
• Jilliann Rae Lunn
• Allana D. Luquette, MA, BCBA
• Lurd's Inc (Doctor's Choice Pharmacy)
• Kristin Lutze
• Jeffrey Lutzker
• Mindy Luu, PA-C
• Adele Angeline Luxa, OTR
• Luxottica of America Inc (For Eyes (Cm227))

• Nephrology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.