Thien Tien Luu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

84-70 Issued in NM

Practice address

2000 W 21St St
#E-2
Clovis, NM 88101-4087

Phone

(575) 762-3726

Fax

(575) 762-3727

NPI assigned

May 17, 2006

Last updated

Nov 30, 2010By 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 NM

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.

• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  NPD (past)
• Thien T Luu MD PA

  • Pediatrics Physician
  • Clovis, NM
  • NPI 1760599153
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1720030745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST",
            "address_2": "#E-2",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014087",
            "telephone_number": "575-762-3726",
            "fax_number": "575-762-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST",
            "address_2": "#E-2",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014087",
            "telephone_number": "575-762-3726",
            "fax_number": "575-762-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "THIEN",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "84-70",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33779",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Nelson Lugo, M.D.
• Diane Amanda Lukkar, RN
• Joseph Raymond Luna Jr., PHARMD.
• Ali Lunt, AU
• Brannon Luscombe
• Lyte Psychiatry New Mexico LLC
• M-Core Construction LLC
• Jennifer Machado
• Brandi L. Machen, BMS
• Priscilla Machuca

• Pediatrics Physician in Clovis, NM
• Providers in Clovis, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.