Active NPI
Brett A Luxmore, D.O.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Cleveland, OH
National Provider Identifier
1669569661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 34-007153
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-7700
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 34-007153 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Other practice location 1
799 Farson St Ste 101
Belpre, OH 45714-1082
Phone (740) 423-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2243263 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-007153 | OH | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Akron Children'S Hospital | Current | Accepting new patients | |
| Marietta Memorial Hospital | Current | Accepting new patients | |
| Marietta Memorial Hospital | Current | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
799 Farson St
Ste 101
Belpre, OH 45714
Phone (740) 423-3225
401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400
Interoperability endpoints
- bluxmore1896@direct.chmca.org
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Woodsfield, OH
- NPI 1962106328
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Anesthesiology Physician
- Boardman, OH
- NPI 1417257601
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1669569661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "3RD FLOOR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-7700"
}
],
"practiceLocations": [
{
"address_1": "799 Farson St Ste 101",
"address_purpose": "LOCATION",
"city": "Belpre",
"state": "OH",
"postal_code": "457141082",
"country_code": "US",
"telephone_number": "740-423-3225",
"fax_number": "740-423-3239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUXMORE",
"first_name": "BRETT",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OH",
"license": "34-007153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2243263",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.