Individual provider Active NPI

Luis Flores, MD

  • Dermatopathology (Pathology) Physician
  • Wexford, PA
National Provider Identifier
1992781785
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD425122 Issued in PA
Practice address
1401 Harewood SQ Ste 204
Wexford, PA 15090-9760
Phone
(412) 807-1554
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 20246 WV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD425122 PA
Dermatopathology (Pathology) Physician 207ZD0900X MD425122 PA Primary

Addresses

Primary practice location

1401 Harewood SQ Ste 204
Wexford, PA 15090-9760

Mailing address

1401 Harewood SQ Ste 204
Wexford, PA 15090-9760
Phone (412) 807-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100308000383 IL Practitioner - PathologyPractitioner - Dermatology 5597734657 Reassigns benefits to 1 organization
I20240109002255 WV Practitioner - Pathology 5597734657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

Hospital & facility affiliations

  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD425122PAMDDermatopathology (Pathology) Physician
20246WVMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc CurrentSince Feb 1, 2024 Accepting new patients
West Virginia University Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jan 2, 2024 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Mar 1, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 2, 2024 Accepting new patients
Institute for Dermatopathology, Inc. Past Accepting new patients

Locations

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1992781785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HAREWOOD SQ STE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909760",
            "telephone_number": "412-807-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HAREWOOD SQ STE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909760",
            "telephone_number": "412-807-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "WV",
            "license": "20246",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD425122",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD425122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.