Travis B Lutz, M. D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

39841 Issued in KY

Practice address

1725 Harrodsburg Rd
Suite 100
Lexington, KY 40504-3601

Phone

(859) 278-7226

Fax

(829) 276-1540

NPI assigned

Jan 3, 2007

Last updated

Dec 2, 2009By 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

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Spectrum Imaging SC

  • Radiology Clinic/Center
  • Chicago, IL
  • NPI 1821482621
  Medicare reassignment NPD
• American MRI, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Elmhurst, IL
  • NPI 1770621443
  NPD
• Midwest Advanced Radiology Center LLC

  • Radiology Clinic/Center
  • Des Plaines, IL
  • NPI 1720333933
  NPD
• Midwest Imaging & Diagnostic Center Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Oak Lawn, IL
  • NPI 1902844541
  NPD
• Neurodiagnostics Inc.

  dba Lexington Diagnostic Center

  • Radiology Clinic/Center
  • Lexington, KY
  • NPI 1174697858
  NPD (past)
• Scancare Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Chicago, IL
  • NPI 1154744654
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1659428852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 NICHOLASVILLE RD APT 804",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031484",
            "telephone_number": "513-515-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 HARRODSBURG RD",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043601",
            "telephone_number": "859-278-7226",
            "fax_number": "829-276-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "TRAVIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "39841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100050750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Jean Luttrell, APRN
• Hannah Luttrell
• Samantha Leann Luttrell, APRN
• Ashley Danielle Lutz
• Charles Lutz, MD, PHD
• Luxottica of America Inc. (Lenscrafters At Macy's #8792)
• Luxottica of America Inc. (LensCrafters #180)
• Luxottica of America Inc. (LensCrafters #555)
• Benjamin Luzar, DPT
• Lauren Riley Luzar, PT, DPT

• Diagnostic Radiology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.