Active NPI
George C Luiskutty, M.D.
- Emergency Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101241832
- Practice address
- 4092 Foxwood Dr
Ste 101
Virginia Beach, VA 23462-5225 - Phone
- (757) 686-3508
- Fax
- (757) 686-0541
- NPI assigned
- Feb 1, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101241832 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 47715 | MN |
Addresses
Primary practice location
4092 Foxwood Dr
Ste 101
Virginia Beach, VA 23462-5225
Mailing address
PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697631000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6379 Ctr Dr
Norfolk, VA 23502-4102
Phone (757) 467-4200
Hospital & facility affiliations
- Sentara Virginia Beach General Hospital
- Sentara Norfolk General Hospital
- Sentara Obici Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.87 of 100
- Quality
- 95.04
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241832 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Tidewater | Emergency Medicine | Current | Accepting new patients |
| Thomas Luiskutty MD PLC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
7134 S Yale Ave
Ste 500
Tulsa, OK 74136
Phone (918) 392-4763
6379 Center Dr
Norfolk, VA 23502
Phone (757) 467-4200
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
4092 Foxwood Dr
Ste 101
Virginia Beach, VA 23462
Phone (757) 467-4200
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1063968352
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1922079367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7068",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070068",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4092 FOXWOOD DR",
"address_2": "STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625225",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUISKUTTY",
"first_name": "GEORGE",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101241832",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "47715",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "697631000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.