Individual provider Active NPI

Luxman Srikantha

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Commerce Township, MI
National Provider Identifier
1679932479
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
34.015335 Issued in OH
Practice address
1 William Carls Dr
Commerce Township, MI 48382-2201
Phone
(919) 922-7962
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 34.015335 OH Primary

Addresses

Primary practice location

1 William Carls Dr
Commerce Township, MI 48382-2201

Mailing address

113 Mill Run PL
Goldsboro, NC 27534-8966
Phone (919) 922-7962

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917000689 OH Practitioner - Otolaryngology 9234428764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Philadelphia Col of Osteo Med, Sewanee, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uvpc Specialists, Inc.Group PAC ID 8921022260, 80 clinicians

Practice addresses (Care Compare)

1055 Summitt Dr
Middletown, OH 45042-3464
Phone (513) 420-4678

3130 N Count Rd
Troy, OH 45373-1337

8439 Yankee St
Centerville, OH 45458-1832
Phone (937) 440-7872

Hospital & facility affiliations

  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
72.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015335OHMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvpc Specialists Inc. CurrentSince Sep 27, 2021 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Sep 27, 2021 Accepting new patients

Locations

30 E Apple St
Ste 6252
Dayton, OH 45409
Phone (937) 208-6060

8439 Yankee St
Dayton, OH 45458
Phone (937) 440-7872

1055 Summit Dr
Middletown, OH 45042
Phone (513) 420-4678

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

31 S Stanfield Rd
Ste 304
Troy, OH 45373
Phone (937) 339-1518

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1679932479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MILL RUN PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348966",
            "telephone_number": "919-922-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822201",
            "telephone_number": "919-922-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIKANTHA",
        "first_name": "LUXMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OH",
            "license": "34.015335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.