Individual provider Active NPI

Derek John Edward Luney, M.D.

  • Cardiovascular Disease Physician
  • Conover, NC
National Provider Identifier
1679535363
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9601661 Issued in NC
Practice address
3521 Graystone PL SE
Suite 202
Conover, NC 28613-8201
Phone
(828) 326-2354
Fax
(828) 326-2385
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9601661 NC Primary

Addresses

Primary practice location

3521 Graystone PL SE
Suite 202
Conover, NC 28613-8201

Mailing address

3521 Graystone PL SE
Suite 202
Conover, NC 28613-8201
Phone (828) 326-2354

Other identifiers 2

IdentifierTypeStateIssuer
1002COtherNCBCBS OF NC PROVIDER ID#
891002CMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20100111000195 NC Practitioner - Cardiovascular Disease (Cardiology) 0941382907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9601661NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Apr 1, 2012 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Catawba Valley Medical Center CurrentSince Oct 1, 2014 Accepting new patients
Hickory Cardiology Associates PLLC Cardiovascular Disease Current Accepting new patients
Catawba Valley Medical Center Current Accepting new patients
Catawba Valley Medical Center CurrentSince Oct 1, 2014 Accepting new patients
Catawba Valley Medical Center Past Accepting new patients
Piedmont Rheumatology, P.a. Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354

1771 Tate Blvd SE
Ste 103
Hickory, NC 28602
Phone (828) 322-1128

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Organizations & group practices 9

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1679535363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 GRAYSTONE PL SE",
            "address_2": "SUITE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-326-2354",
            "fax_number": "828-326-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 GRAYSTONE PL SE",
            "address_2": "SUITE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-326-2354",
            "fax_number": "828-326-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNEY",
        "first_name": "DEREK",
        "middle_name": "JOHN EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "9601661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER ID#",
            "identifier": "1002C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891002C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.