Active NPI
David J Luz, M.D.
- Surgery Physician
- Warwick, RI
National Provider Identifier
1861491086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RI5902
- Practice address
- 390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326 - Phone
- (401) 739-8010
- Fax
- (401) 739-6087
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RI5902 | RI | Primary |
| Vascular Surgery Physician | 2086S0129X | MD05902 | RI |
Addresses
Primary practice location
390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326
Mailing address
390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326
Phone (401) 739-8010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29066-9 | Other | RI | BLUE CROSS PROVIDER ID |
| 7000782 | Medicaid | RI | |
| 003671 | Other | RI | BLUE CHIP PROVIDER ID |
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 |
|---|---|---|---|
| RI5902 | RI | MD | Surgery Physician |
| MD05902 | RI | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1861491086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "STE.200",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-739-8010",
"fax_number": "401-739-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "STE.200",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-739-8010",
"fax_number": "401-739-6087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZ",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "RI5902",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "RI",
"license": "MD05902",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "29066-9",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000782",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP PROVIDER ID",
"identifier": "003671",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.