Active NPI
Thomas Joseph Luttenegger, MD
- Diagnostic Radiology Physician
- Fort Collins, CO
National Provider Identifier
1902821655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22133
- Practice address
- 3248 Nelson LN
Fort Collins, CO 80525-2861 - Phone
- (970) 226-2666
- Fax
- (970) 226-3988
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22133 | CO | Primary |
Addresses
Primary practice location
3248 Nelson LN
Fort Collins, CO 80525-2861
Mailing address
3248 Nelson LN
Fort Collins, CO 80525-2861
Phone (970) 226-2666
Other names 1
- Dr. Thomas Joseph Luttenegger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22133 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Collins Radiologic Associates PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Fort Collins, CO
- NPI 1003849498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1902821655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3248 NELSON LN",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252861",
"telephone_number": "970-226-2666",
"fax_number": "970-226-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3248 NELSON LN",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252861",
"telephone_number": "970-226-2666",
"fax_number": "970-226-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTENEGGER",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "22133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THOMAS",
"last_name": "LUTTENEGGER",
"middle_name": "JOSEPH",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.