Active NPI
Elizabeth Diem Luong, D.P.M.,
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
National Provider Identifier
1760688063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC005773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of skin lesions | 525 |
| Removal of nail tissue | 957 |
| Removal or shaving of skin growth | 903 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Foot and Ankle | Foot & Ankle Surgery | Current | Accepting new patients |
| Nova Foot and Ankle | Current | 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.
-
- Podiatrist
- Chalfont, PA
- NPI 1912060054
-
- Podiatric Clinic/Center
- Philadelphia, PA
- NPI 1215602651
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1700454543
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1609045079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.