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DR. DOUGLAS MICHAEL LUXENBERG D.O.
NPI 1255343281
Pediatrics - Pediatric Cardiology in Roslyn, NY

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
100 PT WASHINGTON BLVD, ROSLYN, NY 11576(516) 365-3340(516) 365-5512 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Douglas Michael Luxenberg D.o. NPPES

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

DR. DOUGLAS MICHAEL LUXENBERG D.O. (NPI 1255343281) is an individual pediatric cardiology provider in Roslyn, New York, licensed in New York (240697) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1255343281
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. DOUGLAS MICHAEL LUXENBERGCredential: D.O.
Location Address100 PT WASHINGTON BLVDRoslyn, NY 11576
Mailing Address100 Port Washington Blvd, Suite 108Roslyn, NY 11576-1347 · (516) 365-3340 · Fax (516) 365-5512
Phone(516) 365-3340
Fax(516) 365-5512
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1999
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1255343281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 240697
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
100 PT WASHINGTON BLVD, Roslyn, NY 11576
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Other Identifiers 1

Medicaid2954438NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Michael Luxenberg D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668552035
PECOS Enrollment IDI20080110000516
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Luxenberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Cardiology Of Li PC
Same address
Pediatric Cardiology
100 PORT WASHINGTON BLVD, SUITE 108
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1003883653 (516) 365-3340
Mercy Internal Medicine PC
8.4 mi
Internal Medicine
1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
NPI 1376734079 (516) 705-1353
Cardiac Ekg Interpretation, P. C.
21 mi
Cardiovascular Disease
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 119 clinicians in this Medicare group
NPI 1386665644 (631) 376-3000

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

Other Providers at the Same Location NPPES 2

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

AMY E CLARKE PA
Physician Assistant
100 PT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (516) 629-2479
ADRIENNE G GRANDE PA
Physician Assistant
100 PT WASHINGTON BLVD
ROSLYN, NY 11576
Nassau County (516) 338-5300

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 Douglas Luxenberg's NPI number?

The NPI number for Douglas Luxenberg is 1255343281. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Douglas Luxenberg located?

Douglas Luxenberg practices at 100 Pt Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 365-3340.

What is Douglas Luxenberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Douglas Luxenberg enrolled in Medicare?

Yes. Douglas Luxenberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Douglas Luxenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Luxenberg reassigns Medicare benefits to 3 organizations: Pediatric Cardiology Of Li PC (Roslyn, NY), Mercy Internal Medicine PC (Rockville Centre, NY) and Cardiac Ekg Interpretation, P. C. (West Islip, NY). Each 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 Douglas Luxenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Luxenberg was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.