TRISTAN NGUYEN-LUU M.D
NPI 1093458176
Student in an Organized Health Care Education/Training Program in Wilkes-barre, PA

Q: What is Tristan Nguyen-luu's NPI number?

The NPI number for Tristan Nguyen-luu is 1093458176. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Tristan Nguyen-luu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 18, 2022PECOS Enrolled

1000 E MOUNTAIN BLVD, WILKES-BARRE, PA 18711(570) 808-3745 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2022, Apr 18, 2022 (2 updates tracked since 2022).

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About Tristan Nguyen-luu M.d NPPES

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

TRISTAN NGUYEN-LUU M.D (NPI 1093458176) is an individual student in an organized health care education/training program in Wilkes-barre, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093458176

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTRISTAN NGUYEN-LUUCredential: M.D

Location Address1000 E MOUNTAIN BLVDWilkes-barre, PA 18711

Mailing Address6897 Campbell Settler CourtMississauga, ON L5W 1B3

Phone(570) 808-3745

Sole ProprietorNo

Enumeration DateApril 18, 2022

Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1093458176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 E MOUNTAIN BLVD, Wilkes-barre, PA 18711

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristan Nguyen-luu M.d 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.

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.

DR. KEVIN P BURKHARDT

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