ANNETTE M. LUETZOW MD
NPI 1356412332
Otolaryngology - Plastic Surgery within the Head & Neck in Anaheim, CA

Q: What is Annette Luetzow's NPI number?

The NPI number for Annette Luetzow is 1356412332. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Annette Luetzow's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Annette Luetzow was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 13, 2006PECOS EnrolledAccepts Medicare Assignment

441 N LAKEVIEW AVE, ANAHEIM, CA 92807(888) 988-2800 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Annette M. Luetzow Md NPPES

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

ANNETTE M. LUETZOW MD (NPI 1356412332) is an individual plastic surgery within the head & neck provider in Anaheim, California, licensed in California (G59197) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1985).

NPPES Registry Identity

NPI1356412332

Entity TypeIndividualFemale

Primary Taxonomy207YX0007X

Provider Legal NameANNETTE M. LUETZOWCredential: MD

Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028

Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (888) 988-2800

Phone(888) 988-2800

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1985

Enumeration DateNovember 13, 2006

Last NPPES UpdateNovember 29, 2021

✔ NPI 1356412332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · G59197

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

441 N LAKEVIEW AVE, Anaheim, CA 92807

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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 and accepts Medicare assignment

Annette M. Luetzow Md 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 ID5597880278

PECOS Enrollment IDI20100917000909

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.

DINO A. IMPERIAL DO

Family Medicine