Individual provider Active NPI

Peguy Luma, CNIM , CSFA

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1639573322
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
184161 Issued in TX
Practice address
1206 Newsome Glenn Dr
Houston, TX 77090
Phone
(832) 266-4013
NPI assigned
Oct 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X 184161 TX Primary

Addresses

Primary practice location

1206 Newsome Glenn Dr
Houston, TX 77090

Mailing address

1206 Newsome Glenn Dr
Houston, TX 77090-7118
Phone (832) 266-4013

Other identifiers 2

IdentifierTypeStateIssuer
2895OtherCNIM
184161OtherTXCSFA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
184161TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakay Multi Services, LLC Surgical Assistant Current Accepting new patients
Sigma Monitoring Services, LLC Electroneurodiagnostic CurrentSince Aug 27, 2021 Accepting new patients
JMP Staffing & Aging Agency,LLC Current Accepting new patients
HPL Professional Services Multi-Specialty PastSince Oct 14, 2019 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1639573322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 NEWSOME GLENN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770907118",
            "telephone_number": "832-266-4013",
            "fax_number": "832-202-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 NEWSOME GLENN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "832-266-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMA",
        "first_name": "PEGUY",
        "credential": "CNIM , CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "184161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNIM",
            "identifier": "2895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA",
            "identifier": "184161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.