HENRY LUJAN MD LLC
NPI 1699731265
Colon & Rectal Surgery in Miami, FL

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
9195 SUNSET DR, SUITE 230, MIAMI, FL 33173(786) 279-6960(305) 279-1994 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henry Lujan Md Llc NPPES

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

HENRY LUJAN MD LLC (NPI 1699731265) is an individual colon & rectal surgery provider in Miami, Florida, licensed in Florida (ME0070394) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1699731265
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameHENRY LUJANCredential: MD LLC
Location Address9195 SUNSET DR, SUITE 230Miami, FL 33173-3452
Mailing Address1500 Nw 12th Ave, Suite 810Miami, FL 33136-1051 · (305) 585-6649
Fax(305) 279-1994
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990
Enumeration DateApril 24, 2006
Last NPPES UpdateOctober 8, 2014
NPI 1699731265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in FL · ME0070394
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License ME 70394 (FL)
9195 SUNSET DR, Miami, FL 33173

Other Identifiers 3

Medicare UPING60182FL
Medicare ID-Type Unspecified41360FL
Medicaid252543700FL

Accepted Insurance

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

Henry Lujan Md Llc 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 ID7113943432
PECOS Enrollment IDI20051017000442
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
29 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

Other Providers at the Same Location NPPES 12

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

Internal Medicine
9195 SUNSET DR, 210
MIAMI, FL 33173
Orthopaedic Surgery
9195 SUNSET DR, SUITE 100
MIAMI, FL 33173
Internal Medicine
9195 SUNSET DR, SUITE 210
MIAMI, FL 33173
Colon & Rectal Surgery
9195 SUNSET DR, SUITE 230
MIAMI, FL 33173
Internal Medicine
9195 SUNSET DR, STE 210
MIAMI, FL 33173
Non-Pharmacy Dispensing Site
9195 SUNSET DR, SUITE #100
MIAMI, FL 33173
Colon & Rectal Surgery
9195 SUNSET DR, SUITE 230
MIAMI, FL 33173
Surgery
9195 SUNSET DR, SUITE 230
MIAMI, FL 33173

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 Henry Lujan's NPI number?

The NPI number for Henry Lujan is 1699731265. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Henry Lujan located?

Henry Lujan practices at 9195 Sunset Dr Suite 230, Miami, FL 33173. The listed phone number is (786) 279-6960.

What is Henry Lujan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Henry Lujan enrolled in Medicare?

Yes. Henry Lujan 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.

What insurance does Henry Lujan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Henry Lujan 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.

Is Henry Lujan affiliated with any hospitals?

According to CMS data, Henry Lujan is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Henry Lujan was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.