Individual provider Active NPI

Christopher M. Luty, M.D.

  • Vascular & Interventional Radiology Physician
  • Iowa City, IA
National Provider Identifier
1891921813
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
63666-20 Issued in WI
Practice address
378 N Scott Blvd
Iowa City, IA 52245-4110
Phone
(414) 881-0972
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 63666 WI
Vascular & Interventional Radiology Physician 2085R0204X 63666-20 WI Primary

Addresses

Primary practice location

378 N Scott Blvd
Iowa City, IA 52245-4110

Mailing address

2500 E Capitol Dr
Appleton, WI 54911-8735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150526000096 WI Practitioner - Diagnostic Radiology 4183864390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians
Radiology Waukesha SCGroup PAC ID 3274520648, 29 clinicians

Practice addresses (Care Compare)

1111 Delafield St
Suite 112
Waukesha, WI 53188-3402
Phone (262) 542-9212

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-2400

Hospital & facility affiliations

  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Watertown Memorial Hospital Hospital, Watertown, WI, CCN 520116
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63666WIMDDiagnostic Radiology Physician
63666-20WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Jun 1, 2017 Accepting new patients
Radiology Waukesha S.C. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Prohealth Medical Group Inc. CurrentSince May 13, 2025 Accepting new patients
Radiology Associates of Appleton, S.C. PastSince Mar 26, 2023 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

1111 Delafield St
Ste 112
Waukesha, WI 53188
Phone (262) 542-9173

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1891921813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 N SCOTT BLVD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522454110",
            "telephone_number": "414-881-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "63666",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "63666-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.