Active NPI
Christopher M. Luty, M.D.
- Vascular & Interventional Radiology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 63666-20
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Watertown Memorial Hospital
- Oconomowoc Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63666 | WI | MD | Diagnostic Radiology Physician |
| 63666-20 | WI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current | Accepting new patients | |
| Radiology Waukesha S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Radiology Associates of Appleton, S.C. | Past | 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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Diagnostic Radiology Physician
- Waukesha, WI
- NPI 1730175258
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1841229093
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
-
- Radiation Oncology Physician
- Appleton, WI
- NPI 1407941909
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
-
- General Acute Care Hospital
- Watertown, WI
- NPI 1992776041
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.