Individual provider Active NPI

Yongrui Luan, M.D.

  • Pediatrics Physician
  • Wylie, TX
National Provider Identifier
1962744714
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q7229 Issued in TX
Practice address
3360 W FM 544 Ste 910
Wylie, TX 75098-9426
Phone
(972) 772-3100
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q7229 TX Primary

Addresses

Primary practice location

3360 W FM 544 Ste 910
Wylie, TX 75098-9426

Mailing address

201 E I30 Ste 100
Rockwall, TX 75087-5402
Phone (972) 772-3100

Other practice location 1

201 E I30 Ste 100
Rockwall, TX 75087-5402
Phone (972) 772-3100

Other practice location 2

6301 Gaston Ave Ste 750
Dallas, TX 75214-6339
Phone (214) 214-3100

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q7229TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Tree Pediatrics, P.a. Pediatrics CurrentSince Oct 27, 2024 Accepting new patients
Ari Brown Pediatrics, PA Pediatrics Past Accepting new patients

Locations

6301 Gaston Ave
Ste 750
Dallas, TX 75214
Phone (214) 214-3100

201 E Interstate 30
Ste 100
Rockwall, TX 75087
Phone (972) 772-3100

1005 W Ralph Hall Pkwy
Ste 135
Rockwall, TX 75032
Phone (972) 772-3100

3360 W FM 544
Ste 910
Wylie, TX 75098
Phone (972) 429-4800

Interoperability endpoints

  • Direct secure messaging: yongrui.luan.1@6793.direct.athenahealth.com
  • Direct secure messaging: drluan@pecantreepediatrics.opdirect.net
  • FHIR API: https://api.platform.athenahealth.com/6793/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1962744714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E I30 STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "972-772-3100",
            "fax_number": "469-757-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 W FM 544 STE 910",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989426",
            "telephone_number": "972-772-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E I30 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750875402",
            "country_code": "US",
            "telephone_number": "972-772-3100",
            "fax_number": "469-757-4890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Gaston Ave Ste 750",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752146339",
            "country_code": "US",
            "telephone_number": "214-214-3100",
            "fax_number": "469-757-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUAN",
        "first_name": "YONGRUI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q7229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.