BRENDAN J LUTZ DO
NPI 1760011522
Student in an Organized Health Care Education/Training Program in Miami Beach, FL

Active since April 03, 2020PECOS Enrolled
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 674-2273 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2021, Apr 3, 2020 (2 updates tracked since 2020).

About Brendan J Lutz Do NPPES

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

BRENDAN J LUTZ DO (NPI 1760011522) is an individual student in an organized health care education/training program in Miami Beach, Florida and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760011522
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN J LUTZCredential: DO
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address4300 Alton RdMiami Beach, FL 33140-2948
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateJune 27, 20212 updates tracked since enumeration
NPPES CertifiedJune 27, 2021
✔ NPI 1760011522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4300 ALTON RD, Miami Beach, FL 33140

Secondary Practice Location 1

Location 1University Of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163-0001 · Phone (901) 448-0230

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan J Lutz Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42640096
PECOS Enrollment IDI20260304002808
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.

Medicare Billing Reassignment

Medicare enrollment records show Brendan Lutz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
705 E 26TH ST
Hialeah, FL 33013
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group

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

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.

Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140

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 Brendan Lutz's NPI number?

The NPI number for Brendan Lutz is 1760011522. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Brendan Lutz located?

Brendan Lutz practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 674-2273.

What is Brendan Lutz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendan Lutz enrolled in Medicare?

Yes. Brendan Lutz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brendan Lutz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Lutz reassigns Medicare benefits to Carlos Rodriguez Ortiz MD, PA (Hialeah, FL). The 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 Brendan Lutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Lutz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Brendan Lutz 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 Brendan Lutz was last updated on June 27, 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.