Individual provider Active NPI

Luis W Torres Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1659302412
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN352434L Issued in PA
Practice address
51 N 39TH St
Philadelphia, PA 19104
Phone
(215) 662-8244
NPI assigned
Jul 6, 2006
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X L60A00387 DE
Certified Registered Nurse Anesthetist 367500000X RN352434L PA Primary

Addresses

Primary practice location

51 N 39TH St
Philadelphia, PA 19104

Mailing address

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-8244

Other identifiers 3

IdentifierTypeStateIssuer
1659302412MedicaidDE
P00111611OtherDERAILROAD MEDICARE
013870O50OtherDEMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040514001186 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173513744 Reassigns benefits to 2 organizations
I20050629000260 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173513744
I20131125000443 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173513744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NCB Anesthesia Associates, LLCGroup PAC ID 1557726130, 17 clinicians

Practice addresses (Care Compare)

1000 Twin C LN
Suite 200
Newark, DE 19713-2142
Phone (302) 683-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1047DEMDAddiction (Substance Use Disorder) Counselor
L60A00387DEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Delaware Center for Digestive Care LLC CurrentSince Jul 1, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 13, 2019 Accepting new patients
NCB Anesthesia Associates, LLC CurrentSince Apr 15, 2023 Accepting new patients
Anesthesia Services PA Past Accepting new patients

Locations

1000 Twin C Ln
Ste 200
Newark, DE 19713
Phone (302) 683-0700

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000

537 Stanton Christiana Rd
Ste 203
Newark, DE 19713
Phone (302) 225-2380

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1659302412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "LUIS",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L60A00387",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN352434L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659302412",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00111611",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "013870O50",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.