LUKE JOHANNES IRWIN MD
NPI 1073208773
Internal Medicine in San Diego, CA

Active since April 07, 2023PECOS Enrolled
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(805) 405-9192 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Luke Johannes Irwin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE JOHANNES IRWIN MD (NPI 1073208773) is an individual internal medicine provider in San Diego, California, licensed in California (A202386) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1073208773
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLUKE JOHANNES IRWINCredential: MD
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105
Sole ProprietorNo
Enumeration DateApril 7, 2023
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1073208773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A202386
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4077 FIFTH AVE # MER-35, San Diego, CA 92103

Secondary Practice Location 1

Location 14094 4th AveSan Diego, CA 92103-2143 · Phone (619) 515-2545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luke Johannes Irwin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073208773, enumerated as an "individual" on April 07, 2023.

The provider is located at 4077 FIFTH AVE # MER-35 SAN DIEGO, CA 92103 and the phone number is (805) 405-9192.

Internal Medicine with taxonomy code 207R00000X.