Individual provider Active NPI

Randy C Luzania, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1558356543
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-26419 Issued in KS
Practice address
5701 W 119TH St
Suite 135
Overland Park, KS 66209-3721
Phone
(913) 451-1311
Fax
(913) 451-7511
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 111595 MO
Family Medicine Physician 207Q00000X 04-26419 KS Primary

Addresses

Primary practice location

5701 W 119TH St
Suite 135
Overland Park, KS 66209-3721

Mailing address

5701 W 119TH St
Suite 410
Overland Park, KS 66209-3721
Phone (913) 345-3650

Other identifiers 3

IdentifierTypeStateIssuer
100453360DMedicaidKS
209192806MedicaidMO
1558356543MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RANDY.LUZANIA@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20041013000469 MO Practitioner - Family Practice 1951361013 Reassigns benefits to 1 organization
I20061116000132 KS Practitioner - Family Practice 1951361013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town Plaza Family Practice LLCGroup PAC ID 5496749913, 8 clinicians

Practice addresses (Care Compare)

5701 W 119TH St
Suite 308
Overland Park, KS 66209-3721
Phone (913) 253-3070

6936 Mission Rd
Suite 202
Prairie Village, KS 66208-2609
Phone (913) 345-3650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26419KSMDFamily Medicine Physician
MD 111595MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State Line Medical Group LLC Past Accepting new patients
Menorah Family Physicians LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: randy.luzania@hca2.eclinicaldirectplus.com

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 4

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1558356543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 410",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-345-3650",
            "fax_number": "913-345-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 135",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-451-1311",
            "fax_number": "913-451-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZANIA",
        "first_name": "RANDY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD 111595",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453360D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209192806",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558356543",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RANDY.LUZANIA@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5701 W 119th St",
            "address_2": "SUITE 135",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662093721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.