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LUIS D LOMELI MD
NPI 1851686281
Internal Medicine - Gastroenterology in Madison, WI

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831, MADISON, WI 53792(608) 263-4034 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2021, Jun 19, 2018, Jun 16, 2017 (3 updates tracked since 2017).

About Luis D Lomeli Md NPPES

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

LUIS D LOMELI MD (NPI 1851686281) is an individual gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (62320-20) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1851686281
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLUIS D LOMELICredential: MD
Location AddressUW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831Madison, WI 53792
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (999) 999-9999
Phone(608) 263-4034
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 14, 2011
Last NPPES UpdateJanuary 28, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
✔ NPI 1851686281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 62320-20
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
UW HOSPITAL AND CLINICS, Madison, WI 53792
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Luis D Lomeli Md 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 ID2264689785
PECOS Enrollment IDI20160614002255
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
81 services81 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
47 services39 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DINA MARIE PITTA MD
Surgery
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
CAN M SAVASMAN M.D.
Student in an Organized Health Care Education/Training Program
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 262-7158
JUDITH NIR M.D.
Student in an Organized Health Care Education/Training Program
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-0572
MADELYN KAY ALVAREZ MD
Internal Medicine
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-5660
DR. IAN JOSEPH KOSZEWSKI M.D.
Otolaryngology
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-0192
DR. AMIN AFRAZI MD,PH.D
Surgery
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE, H4/831
MADISON, WI 53792
Dane County (608) 263-1377
DANIEL R MATSON
Pathology (Hematology)
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVENUE
MADISON, WI 53792
Dane County (608) 263-8443
MEGAN E PETERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
UW HOSPITAL AND CLINICS, 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8049

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 Luis Lomeli's NPI number?

The NPI number for Luis Lomeli is 1851686281. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Luis Lomeli located?

Luis Lomeli practices at Uw Hospital And Clinics 600 Highland Ave, H4/831, Madison, WI 53792. The listed phone number is (608) 263-4034.

What is Luis Lomeli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Luis Lomeli enrolled in Medicare?

Yes. Luis Lomeli 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 Luis Lomeli accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Luis Lomeli 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 Luis Lomeli affiliated with any hospitals?

According to CMS data, Luis Lomeli is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Luis Lomeli was last updated on January 28, 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.