LUKE MACYSZYN MD INC
NPI 1104543354
Neurological Surgery in Marina Del Rey, CA

Active since October 27, 2022
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292(424) 835-3100 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Luke Macyszyn Md Inc NPPES

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

LUKE MACYSZYN MD INC (NPI 1104543354) is a healthcare organization registered as a neurological surgery in Marina Del Rey, California and active in the NPI registry since October 2022. The organization lists Luke Macyszyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1104543354
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameLUKE MACYSZYN MD INC
Location Address4551 GLENCOE AVE STE 145Marina Del Rey, CA 90292-6385
Mailing AddressPo Box 3129Torrance, CA 90510-3129 · (310) 792-3914 · Fax (855) 898-4055
Organization SubpartNo
Authorized OfficialLuke MacyszynOwner · (424) 835-3100
Enumeration DateOctober 27, 2022
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1104543354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4551 GLENCOE AVE STE 145, Marina Del Rey, CA 90292

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Luke Macyszyn MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Neurosurgery
NPI 1225291842
4551 GLENCOE AVE STE 145
Marina Del Rey, CA 90292
(424) 835-3100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215546197
11500 BROOKSHIRE AVE
Downey, CA 90241
(562) 904-5000
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Macyszyn MD Inc's NPI number?

The NPI number for Luke Macyszyn MD Inc is 1104543354. It was assigned to this organization in the NPPES registry on October 27, 2022.

Where is Luke Macyszyn MD Inc located?

Luke Macyszyn MD Inc is located at 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292. The listed phone number is (424) 835-3100.

What is Luke Macyszyn MD Inc's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Luke Macyszyn MD Inc enrolled in Medicare?

Yes. Luke Macyszyn MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luke Macyszyn MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Luke Macyszyn MD Inc, in Neurosurgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Luke Macyszyn MD Inc was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.