Individual provider Active NPI

Thanh Phu Luu, APRN

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1740046499
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1153067 Issued in TX
Practice address
2221 8TH Ave
Fort Worth, TX 76110-1812
Phone
(817) 336-5060
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1153067 TX
Adult Health Nurse Practitioner 363LA2200X 1153067 TX
Gerontology Nurse Practitioner 363LG0600X 1153067 TX
Nurse Practitioner 363L00000X 1153067 TX Primary

Addresses

Primary practice location

2221 8TH Ave
Fort Worth, TX 76110-1812

Mailing address

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321000576 TX Practitioner - Nurse Practitioner 4981041399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis AssociatesGroup PAC ID 1557308319, 25 clinicians

Practice addresses (Care Compare)

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1153067TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates CurrentSince Mar 1, 2024 Accepting new patients

Locations

919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700

2221 8th Ave
Fort Worth, TX 76110

Interoperability endpoints

  • Direct secure messaging: tluu64639@direct.acumenmd.com

Organizations & group practices 1

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 7

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1740046499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "THANH",
        "middle_name": "PHU",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1153067",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1153067",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1153067",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1153067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.