Active NPI
Cuong Luu, M.D.
- Family Medicine Physician
- Riverview, FL
National Provider Identifier
1770555294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 92624
- Practice address
- 13111 US Highway 301 S
Riverview, FL 33578-7401 - Phone
- (813) 671-0064
- NPI assigned
- Feb 7, 2006
- Last updated
- Apr 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24768 | SC | |
| Family Medicine Physician | 207Q00000X | ME 92624 | FL | Primary |
Addresses
Primary practice location
13111 US Highway 301 S
Riverview, FL 33578-7401
Mailing address
PO Box 215
Lutz, FL 33548-0215
Phone (813) 264-1885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 92624 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1770555294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "LUTZ",
"state": "FL",
"postal_code": "335480215",
"telephone_number": "813-264-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 US HIGHWAY 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335787401",
"telephone_number": "813-671-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "CUONG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2010-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "24768",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 92624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.