Individual provider Active NPI

Christian Luessenhop, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1831177047
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
19557 Issued in OK
Practice address
1809 E 13TH St Ste 402
Tulsa, OK 74104
Phone
(918) 579-2300
Fax
(918) 579-2309
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 19557 OK Primary

Addresses

Primary practice location

1809 E 13TH St Ste 402
Tulsa, OK 74104

Mailing address

1809 E 13TH St Ste 402
Tulsa, OK 74104-4431
Phone (918) 579-2300

Other identifiers 1

IdentifierTypeStateIssuer
100123170AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20051022000305 OK Practitioner - Orthopedic Surgery 9931125523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393

1809 E 13TH St
Tulsa, OK 74104-4431

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000

Hospital & facility affiliations

  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Nov 1, 2017 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Claremore Physicians LLC Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

8803 S 101st East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 574-0220

1809 E 13th St
Ste 402
Tulsa, OK 74104
Phone (918) 579-2300

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: cluessenhop137988@ahs.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1831177047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044431",
            "telephone_number": "918-579-2300",
            "fax_number": "918-579-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-579-2300",
            "fax_number": "918-579-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUESSENHOP",
        "first_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OK",
            "license": "19557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.