1. Home
  2. Directory
  3. California
  4. Fairfield
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK Y S LUO MD
NPI 1851920854
Internal Medicine - Nephrology in Fairfield, CA

Active since April 02, 2020PECOS Enrolled
1411 OLIVER RD STE 250, FAIRFIELD, CA 94534(707) 426-5407(707) 426-6376 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Jul 9, 2025, Apr 11, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Jack Y S Luo Md NPPES

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

DR. JACK Y S LUO MD (NPI 1851920854) is an individual nephrology provider in Fairfield, California, licensed in California (A182033) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of F H Netter, M.d. School Of Med At Quinnipiac Univ (2020).

NPPES Registry Identity

NPI1851920854
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JACK Y S LUOCredential: MD
Location Address1411 OLIVER RD STE 250Fairfield, CA 94534-3425
Mailing Address1411 Oliver Rd Ste 250Fairfield, CA 94534-3425 · (707) 426-5407 · Fax (707) 426-6376
Phone(707) 426-5407
Fax(707) 426-6376
Sole ProprietorNo
Medical School CMSF H Netter, M.d. School Of Med At Quinnipiac UnivGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1851920854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A182033
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1411 OLIVER RD STE 250, Fairfield, CA 94534
Open in Google Maps ↗

Other Names 1

Other Name (5)Jack Ys Luo Md

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

Dr. Jack Y S Luo 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 ID2163871708
PECOS Enrollment IDI20250710002470
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94534 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 3

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

MR. STEVEN HUY ONG MD
Internal Medicine (Nephrology)
1411 OLIVER RD STE 250
FAIRFIELD, CA 94534
Solano County (707) 426-5407
OLEG F RUBIN MD
Internal Medicine (Nephrology)
1411 OLIVER RD STE 250
FAIRFIELD, CA 94534
Solano County (707) 426-5407
ONG RUBIN SHAHMIR A MEDICAL CORPORATION
Internal Medicine (Nephrology)
1411 OLIVER RD STE 250
FAIRFIELD, CA 94534
Solano County (707) 446-4379

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 Jack Luo's NPI number?

The NPI number for Jack Luo is 1851920854. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as Jack Ys Luo MD.

Where is Jack Luo located?

Jack Luo practices at 1411 Oliver Rd Ste 250, Fairfield, CA 94534. The listed phone number is (707) 426-5407.

What is Jack Luo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jack Luo enrolled in Medicare?

Yes. Jack Luo 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.

When was this NPI record last updated?

The NPPES record for Jack Luo was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.