LUMINARY DERMATOLOGY OF OKLAHOMA, LLC
NPI 1730758541
Dermatology in Edmond, OK
About Luminary Dermatology Of Oklahoma, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUMINARY DERMATOLOGY OF OKLAHOMA, LLC (NPI 1730758541) is a healthcare organization registered as a dermatology in Edmond, Oklahoma and active in the NPI registry since June 2021. The organization lists Jessica Phillips, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Luminary Dermatology Of Oklahoma, Llc 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 Luminary Dermatology Of Oklahoma, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Luminary Dermatology Of Oklahoma, LLC's NPI number?
The NPI number for Luminary Dermatology Of Oklahoma, LLC is 1730758541. It was assigned to this organization in the NPPES registry on June 24, 2021.
Where is Luminary Dermatology Of Oklahoma, LLC located?
Luminary Dermatology Of Oklahoma, LLC is located at 1218 E 9th St Ste 1, Edmond, OK 73034. The listed phone number is (405) 856-0020.
What is Luminary Dermatology Of Oklahoma, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Luminary Dermatology Of Oklahoma, LLC enrolled in Medicare?
Yes. Luminary Dermatology Of Oklahoma, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Luminary Dermatology Of Oklahoma, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Luminary Dermatology Of Oklahoma, LLC. 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.
When was this NPI record last updated?
The NPPES record for Luminary Dermatology Of Oklahoma, LLC was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.