Active NPI
Yongrui Luan, M.D.
- Pediatrics Physician
- Wylie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q7229
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| Q7229 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecan Tree Pediatrics, P.a. | Pediatrics | Current | 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
- yongrui.luan.1@6793.direct.athenahealth.com
- drluan@pecantreepediatrics.opdirect.net
- 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.
-
- Pediatrics Physician
- Rockwall, TX
- NPI 1073802724
-
- Pediatrics Physician
- West Lake Hills, TX
- NPI 1891034476
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.