Individual provider Active NPI

Michael D Lusk, M.D.

  • Neurological Surgery Physician
  • Naples, FL
National Provider Identifier
1821097775
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME44001 Issued in FL
Practice address
6101 Pine Ridge Rd # Desk10
Naples, FL 34119-3900
Phone
(239) 649-1662
Fax
(239) 649-7053
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME44001 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Rd # Desk10
Naples, FL 34119-3900

Mailing address

700 Park Vista Rd
West Jefferson, NC 28694-8025
Phone (239) 691-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000608 FL Practitioner - Neurosurgery 2567360662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL Current Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Dec 2, 1996 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Dec 2, 1996 Accepting new patients
Neuroscience and Spine Associates PL Past Accepting new patients

Locations

8380 Riverwalk Park Blvd
#3
Fort Myers, FL 33919
Phone (941) 437-1121

8380 Riverwalk Park Blvd
Ste 320
Fort Myers, FL 33919
Phone (239) 437-1121

877 111th Ave N
Ste 1
Naples, FL 34108
Phone (239) 594-8002

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6101 Pine Ridge Rd
#10
Naples, FL 34119
Phone (239) 649-1662

6101 Pine Ridge Rd
#2324
Naples, FL 34119
Phone (239) 649-1662

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

3191 Harbor Blvd
Ste D
Pt Charlotte, FL 33952
Phone (941) 334-6634

Interoperability endpoints

  • Direct secure messaging: michaelluskmd@nsapl.allscriptsdirect.net

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1821097775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARK VISTA RD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948025",
            "telephone_number": "239-691-0032",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD # DESK10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-649-1662",
            "fax_number": "239-649-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME44001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.