Luis A Logrono, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME67430 Issued in FL

Practice address

18964 Dale Mabry Hwy N
Suite 101
Lutz, FL 33548-4913

Phone

(813) 948-2107

Fax

(813) 948-2790

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NVS Management LLCGroup PAC ID 5193264711, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• NVS Management LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1285487959
  Medicare reassignment Care Compare group NPD
• Sunlake Pain Management, LLC

  • Clinic/Center
  • Lutz, FL
  • NPI 1114153483
  Medicare reassignment NPD Authorized official
• Hillsborough Medical Associates LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1568621019
  NPD (past)
• Physical Therapy Now Holdings, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1598063521
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1700875739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18964 DALE MABRY HWY N",
            "address_2": "STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "813-948-2107",
            "fax_number": "813-948-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18964 DALE MABRY HWY N",
            "address_2": "SUITE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484913",
            "telephone_number": "813-948-2107",
            "fax_number": "813-948-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGRONO",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379686800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PALM HARBOR MEDICAL",
            "identifier": "33310",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "9326165",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5359105",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "33864",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Lipski
• Lisa Phillips Arnp LLC
• Ian David Little
• Living Wellness, LLC
• Bradley Scott Logan, M.D.
• Michael Anthony Loguidice Sr., D.O.
• Lokahi Nutrition LLC
• London Collective LLC
• Marceine Long, NCC, LMHC, CAP
• Dino F Lontoc, P.T.

• Internal Medicine Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.
• 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.