Active NPI
Pifu Luo, MD
- Anatomic Pathology & Clinical Pathology Physician
- Rochester, NY
National Provider Identifier
1891783650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 242210
- Practice address
- 1555 Long Pond Rd
Rochester, NY 14626-4122 - Phone
- (585) 368-4392
- Fax
- (585) 723-7735
- NPI assigned
- Oct 6, 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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 35575 | IA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 242210 | NY | Primary |
Addresses
Primary practice location
1555 Long Pond Rd
Rochester, NY 14626-4122
Mailing address
1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 368-4392
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36385 | Other | IA | WELLMARK BCBS |
| 0439109 | Medicaid | IA | |
| 1439109 | Medicaid | IA | |
| 36384 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35575 | IA | MD | Cytopathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1891783650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-368-4392",
"fax_number": "585-723-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-368-4392",
"fax_number": "585-723-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUO",
"first_name": "PIFU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IA",
"license": "35575",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "242210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "36385",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439109",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1439109",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "36384",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.