Mark M Luley, D.O.

Key facts

NPI

1881815462

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

000000 (NM)

Practice address

5901 Camino Corto NW
Albuquerque, NM 87120-6154

Phone

(505) 489-2238

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

Organizations & group practices 7

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.

• State of New Mexico Nursing Facility/Intermediate Care Facility · Las Vegas, NM · NPI 1992867998
  Medicare reassignment Care Compare group NM
• Permian Basin Community Centers for Mental Health & Mental Retardation Mental Health Clinic/Center (Including Community Mental Health Center) · Midland, TX · NPI 1700976453
  Medicare reassignment NPD PSYCHIATRY · TX
• Psychiatry of Texas PLLC Psychiatry Physician · Houston, TX · NPI 1013476027
  Medicare reassignment NPD NM · PSYCHIATRY · TX
• Psychplus Medical Associates, PLLC Family Medicine Physician · Houston, TX · NPI 1558118026
  Medicare reassignment NPD NM · PSYCHIATRY · TX
• State of New Mexico Clinical Medical Laboratory · Las Vegas, NM · NPI 1407057607
  Care Compare group NPD
• Aspire Neurosciences Psychiatry Physician · Albuquerque, NM · NPI 1447546221
  NPD (past) Authorized official PSYCHIATRY
• Permian Basin Community Centers for Mental Health & Mental Retardation Mental Health Clinic/Center (Including Community Mental Health Center) · Alpine, TX · NPI 1851464119
  NPD PSYCHIATRY

Hospital & facility affiliations 1

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

• San Miguel Hospital Corporation Critical Access Hospital · Las Vegas, NM · NPI 1114639234
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Psychiatry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Mexico (21 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Vista Regional Hospital Hospital · Las Vegas, NM · CCN 321312

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TX, NM

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mluley780233@ahs.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 28, 2011.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1881815462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 CAMINO CORTO NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206154",
            "telephone_number": "505-489-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 CAMINO CORTO NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206154",
            "telephone_number": "505-489-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULEY",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Luke
• Catherine Lukes, CNM
• Molly Lukes, MD
• Sydeny Lukes
• Luma Kai, LLC
• Lumen Wellness Inc
• Lumina Mental Health, LLC
• Luminaria ABA Therapy LLC
• Luna del Valle Healthcare Services

All providers in Albuquerque, NM · Psychiatry Physician in New Mexico