LUMINA DR G MEDICAL PLLC
NPI 1407664469
Internal Medicine in Brooklyn, NY

Active since December 23, 2024
8120 15TH AVE, BROOKLYN, NY 11228(718) 331-2897 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lumina Dr G Medical Pllc NPPES

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

LUMINA DR G MEDICAL PLLC (NPI 1407664469) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since December 2024. The organization lists Victor J Guadagnino, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407664469
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLUMINA DR G MEDICAL PLLC
Location Address8120 15TH AVEBrooklyn, NY 11228-3120
Mailing Address15 Lord Ave Ste 1Lawrence, NY 11559-1321 · (516) 817-7093
Organization SubpartNo
Authorized OfficialVictor J GuadagninoMedical Director · (516) 817-7093
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1407664469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
8120 15TH AVE, Brooklyn, NY 11228

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumina Dr G Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Lumina Dr G Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner13
Internal Medicine1

Clinicians, nearest first (14)

Internal Medicine
NPI 1215939038
8120 15TH AVE
Brooklyn, NY 11228
(718) 331-3222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629580519
1481 MCDONALD AVE FL 2
Brooklyn, NY 11230
(929) 491-7333
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1073139325
855 3RD AVE
New York, NY 10022
(929) 650-3990
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1194286872
12 PROGRESS DR STE 1D
Shelton, CT 06484
(475) 314-3011
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1528772456
531 MT PLEASANT DR
Scranton, PA 18503
(570) 342-8500
✔ PECOS✔ Accepts Medicare103 mi
Nurse Practitioner
NPI 1033497771
112 N 7TH ST
Chambersburg, PA 17201
(717) 217-4300
✔ PECOS✔ Accepts Medicare198 mi
Nurse Practitioner
NPI 1255835047
1941 S BANEY RD STE 200
Ashland, OH 44805
(419) 289-0333
✔ PECOS✔ Accepts Medicare438 mi
Nurse Practitioner
NPI 1417504721
3015 ENTERPRISE DR
Wilmington, NC 28405
(845) 234-7609
✔ PECOS✔ Accepts Medicare484 mi
Nurse Practitioner
NPI 1528551223
4180 W 11 MILE RD
Novi, MI 48375
(240) 469-9972
✔ PECOS494 mi
Nurse Practitioner
NPI 1174048474
11459 JOHNS CREEK PKWY STE 250
Johns Creek, GA 30097
(770) 497-1555
✔ PECOS719 mi
Nurse Practitioner
NPI 1710372693
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 936-3000
✔ PECOS✔ Accepts Medicare759 mi
Nurse Practitioner
NPI 1750916433
400 N TAMPA ST STE 1550
Tampa, FL 33602
(386) 392-7341
✔ PECOS✔ Accepts Medicare997 mi
Nurse Practitioner
NPI 1114577392
1975 E SUNRISE BLVD STE 615
Fort Lauderdale, FL 33304
(954) 628-6807
✔ PECOS✔ Accepts Medicare1,058 mi
Nurse Practitioner
NPI 1386937514
3705 FM 1488 RD
The Woodlands, TX 77384
(281) 298-3705
✔ PECOS✔ Accepts Medicare1,404 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 Lumina Dr G Medical PLLC's NPI number?

The NPI number for Lumina Dr G Medical PLLC is 1407664469. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Lumina Dr G Medical PLLC located?

Lumina Dr G Medical PLLC is located at 8120 15th Ave, Brooklyn, NY 11228. The listed phone number is (718) 331-2897.

What is Lumina Dr G Medical PLLC's specialty?

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

Is Lumina Dr G Medical PLLC enrolled in Medicare?

Yes. Lumina Dr G Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lumina Dr G Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Lumina Dr G Medical PLLC. 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. The largest specialties are Nurse Practitioner (13) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lumina Dr G Medical PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Highmark Blue Cross Blue Shield West Virginia and WellSense Health Plan list Lumina Dr G Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lumina Dr G Medical PLLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.