Individual provider Active NPI

Chaman L Luthra, M.D.

  • Ophthalmology Physician
  • Yuma, AZ
National Provider Identifier
1851389803
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10655 Issued in AZ
Practice address
2325 S Avenue a
Yuma, AZ 85364-8316
Phone
(928) 782-4319
Fax
(928) 782-1632
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10655 AZ Primary

Addresses

Primary practice location

2325 S Avenue a
Yuma, AZ 85364-8316

Mailing address

2325 S Avenue a
Yuma, AZ 85364-8316
Phone (928) 782-4319

Other identifiers 1

IdentifierTypeStateIssuer
223363MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050728000562 AZ Practitioner - Ophthalmology 6901834340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2325 S Ave a
Yuma, AZ 85364-8316
Phone (928) 782-4319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10655AZMDOphthalmology Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAIDBA/Endpoint/IAIDBA

Organizations & group practices 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1851389803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648316",
            "telephone_number": "928-782-4319",
            "fax_number": "928-782-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648316",
            "telephone_number": "928-782-4319",
            "fax_number": "928-782-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHRA",
        "first_name": "CHAMAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "10655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223363",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.