Individual provider Active NPI

Elizabeth Diem Luong, D.P.M.,

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1760688063
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005773 Issued in PA
Practice address
1546 Packer Ave
Philadelphia, PA 19145-5407
Phone
(215) 334-9900
Fax
(215) 467-9060
NPI assigned
Jun 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005773 PA Primary

Addresses

Primary practice location

1546 Packer Ave
Philadelphia, PA 19145-5407

Mailing address

3200 Frankford Ave FL 3
Philadelphia, PA 19134-3217
Phone (267) 761-9780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000024 PA Practitioner - Podiatry 0143386201 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highpoint Foot and Ankle Center LLCGroup PAC ID 0941274757, 4 clinicians

Practice addresses (Care Compare)

1500 Horizon Dr
Suite 106
Chalfont, PA 18914-3966

3200 Frankford Ave
Philadelphia, PA 19134-3217

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions525
Removal of nail tissue957
Removal or shaving of skin growth903
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Foot and Ankle Foot & Ankle Surgery CurrentSince Feb 3, 2020 Accepting new patients
Nova Foot and Ankle CurrentSince Aug 15, 2021 Accepting new patients
Rapha Foot and Ankle Center Foot & Ankle Surgery Past Accepting new patients

Locations

3200 Frankford Ave
Fl 3
Philadelphia, PA 19134
Phone (215) 203-1930

Organizations & group practices 4

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1760688063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FRANKFORD AVE FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343217",
            "telephone_number": "267-761-9780",
            "fax_number": "267-761-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 PACKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455407",
            "telephone_number": "215-334-9900",
            "fax_number": "215-467-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "ELIZABETH",
        "middle_name": "DIEM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.