Luis Alfredo Lujan-Martino

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3600 N Garfield St
Midland, TX 79705-6329

Phone

(575) 973-5485

NPI assigned

Aug 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Emergency Services of Texas PA

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1174932131
  Medicare reassignment

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1811507718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ROSINANTE RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799222904",
            "telephone_number": "575-973-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N GARFIELD ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056329",
            "telephone_number": "575-973-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN-MARTINO",
        "first_name": "LUIS",
        "middle_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo Lozano
• Bethany M. Lucas, PA
• Chelsea Luebke, FNP
• Susan Elaine Lugar, R.N.
• Ashley Danielle Lugo, MOT, OTR/L
• Luke Eye Associates, LP
• Luke Y Young, MD, PHD, PLLC
• Charles Jacob Luke, OPTOMETRIST
• Joy Lynn Luke, OPTOMETRIST
• Eliseo Luna, LVN

• Physician Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.