LUCIANO SZTULMAN MD INC
NPI 1588685754
Obstetrics & Gynecology in Providence, RI

Active since July 22, 2006CLIA Certified · 2 labs
1 RANDALL SQ, SUITE 401, PROVIDENCE, RI 02904(401) 521-1006(401) 521-1009 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Luciano Sztulman Md Inc NPPES

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

LUCIANO SZTULMAN MD INC (NPI 1588685754) is a healthcare organization registered as an obstetrics & gynecology in Providence, Rhode Island and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Luciano Sztulman, Owner, as its authorized official.

NPPES Registry Identity

NPI1588685754
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLUCIANO SZTULMAN MD INC
Location Address1 RANDALL SQ, SUITE 401Providence, RI 02904-2709
Mailing Address1 Randall Sq, Suite 401Providence, RI 02904-2709 · (401) 521-1006 · Fax (401) 521-1009
Fax(401) 521-1009
Organization SubpartNo
Authorized OfficialLuciano SztulmanOwner · (401) 521-1006
Enumeration DateJuly 22, 2006
Last NPPES UpdateMay 12, 2010
✔ NPI 1588685754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · 10209
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 RANDALL SQ, Providence, RI 02904

Other Identifiers 1

Medicare ID-Type Unspecified709004680RI

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Luciano Sztulman MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gynecological Oncology
NPI 1669492070
1 RANDALL SQ SUITE 401
Providence, RI 02904
(401) 521-1006
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0954287

Luciano Sztulman MD · Providence, RI
Active · expires Mar 7, 2027
CLIA Number01D0954287
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorLuciano Sztulman
Laboratory Phone(401) 521-1007
Laboratory LocationLuciano Sztulman MD1 Randall Square Suite 401, Providence, RI 02904
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2218351

Luciano Sztulman MD Inc · Swansea, MA
Active · expires Mar 26, 2027
CLIA Number22D2218351
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorLuciano Sztulman
Laboratory Phone(401) 521-1006
Laboratory LocationLuciano Sztulman MD Inc1010 Gar Highway Ste 9, Swansea, MA 02777
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Luciano Sztulman MD Inc's NPI number?

The NPI number for Luciano Sztulman MD Inc is 1588685754. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Luciano Sztulman MD Inc located?

Luciano Sztulman MD Inc is located at 1 Randall Sq Suite 401, Providence, RI 02904. The listed phone number is (401) 521-1006.

What is Luciano Sztulman MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Luciano Sztulman MD Inc enrolled in Medicare?

Yes. Luciano Sztulman MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luciano Sztulman MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gynecological Oncology) reassigns their Medicare billing to Luciano Sztulman MD Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Luciano Sztulman MD Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Luciano Sztulman MD Inc was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.