NPIMap

Individual provider Active NPI

Christopher J Luttmann, MD

  • Cardiovascular Disease Physician
  • Pawtucket, RI
National Provider Identifier
1891834958
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD7032 Issued in RI
Practice address
407 East Ave
Suite 130
Pawtucket, RI 02860-5290
Phone
(401) 726-7770
Fax
(401) 726-7775
NPI assigned
Feb 5, 2007
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD7032 RI Primary
Cardiovascular Disease Physician 207RC0000X 257142 MA

Addresses

Primary practice location

407 East Ave
Suite 130
Pawtucket, RI 02860-5290

Mailing address

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 2

IdentifierTypeStateIssuer
110049684AMedicaidMA
7003014MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040204000505 RI Practitioner - Cardiovascular Disease (Cardiology) 8628961646 Reassigns benefits to 3 organizations
I20150831001107 MA Practitioner - Cardiovascular Disease (Cardiology) 8628961646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-9132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257142MAMDCardiovascular Disease Physician
MD7032RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2013 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2018 Accepting new patients
The Miriam Hospital CurrentSince May 1, 2018 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2018 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince May 1, 2018 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2013 Accepting new patients
Newport Hospital PastSince Apr 30, 2003 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
LGLN Cardiology Consultants,LLC Cardiovascular Disease PastSince Feb 1, 2004 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

1454 S County Trl
Ste 2000
East Greenwich, RI 02818
Phone (401) 606-1100

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

407 East Ave
Ste 130
Pawtucket, RI 02860
Phone (401) 475-2505

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1891834958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 130",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605290",
            "telephone_number": "401-726-7770",
            "fax_number": "401-726-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTMANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD7032",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "257142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110049684A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003014",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.