WILLIAM A. LUTIN MD
NPI 1275642472
Pediatrics - Pediatric Cardiology in Augusta, GA

Q: What is William Lutin's NPI number?

The NPI number for William Lutin is 1275642472. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is William Lutin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Lutin was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 30, 2006PECOS Enrolled

1120 15TH ST, AUGUSTA, GA 30912(706) 721-2336(706) 721-8319 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About William A. Lutin Md NPPES

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

WILLIAM A. LUTIN MD (NPI 1275642472) is an individual pediatric cardiology provider in Augusta, Georgia, licensed in Georgia (033630) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275642472

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameWILLIAM A. LUTINCredential: MD

Location Address1120 15TH STAugusta, GA 30912-0004

Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 828-8402

Phone(706) 721-2336

Fax(706) 721-8319

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 30, 2012

✔ NPI 1275642472 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 GA · 033630

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.

1120 15TH ST, Augusta, GA 30912

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Other Identifiers 4

Medicare UPINE25780

Medicare ID-Type Unspecified37BDBJFGA · Ga Medicare #

Medicaid000436642AGA

MedicaidG07421SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William A. Lutin 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.

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. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

MR. ROBERT SCOTT SMITH FNP-C

Nurse Practitioner (Family)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8549

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

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 William Lutin's NPI number?

The NPI number for William Lutin is 1275642472. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is William Lutin located?

William Lutin practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2336.

What is William Lutin's specialty?

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

Is William Lutin enrolled in Medicare?

Yes. William Lutin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Lutin was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.