INNOCENT LUTAYA MD
NPI 1104511229
Internal Medicine in Atlanta, GA

Q: What is Innocent Lutaya's NPI number?

The NPI number for Innocent Lutaya is 1104511229. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Innocent Lutaya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Innocent Lutaya was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2023PECOS Enrolled

80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-1000 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Mar 22, 2025, Jun 22, 2023 and 1 more (4 updates tracked since 2023).

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About Innocent Lutaya Md NPPES

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

INNOCENT LUTAYA MD (NPI 1104511229) is an individual internal medicine provider in Atlanta, Georgia, licensed in Rhode Island (LP06053) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1104511229

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameINNOCENT LUTAYACredential: MD

Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031

Mailing Address33 Shirley StLexington, MA 02421-4606

Phone(404) 616-1000

Sole ProprietorNo

Enumeration DateApril 5, 2023

Last NPPES UpdateApril 9, 20254 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1104511229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · LP06053

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.

80 JESSE HILL JR DR SE, Atlanta, GA 30303

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Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-4010 ext. 35640

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innocent Lutaya 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 30303 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

DR. SHANNON WALKER IKE MD

Internal Medicine (Cardiovascular Disease)