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LUIS M MATURANA M.D.
NPI 1902199318
Obstetrics & Gynecology - Gynecology in Syracuse, NY

Active since May 17, 2011PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5136 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Luis M Maturana M.d. NPPES

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

LUIS M MATURANA M.D. (NPI 1902199318) is an individual gynecology provider in Syracuse, New York, licensed in New York (279748) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902199318
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameLUIS M MATURANACredential: M.D.
Location Address750 E ADAMS STSyracuse, NY 13210-2342
Mailing Address2 Park AveYonkers, NY 10703-3402 · (914) 964-7862
Phone(315) 464-5136
Sole ProprietorYes
Enumeration DateMay 17, 2011
Last NPPES UpdateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1902199318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 279748
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
750 E ADAMS ST, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis M Maturana M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Luis Maturana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sun River Health Inc
156 mi
Federally Qualified Health Center (FQHC)
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
Amenia, NY 12501
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1568526838 (845) 373-9006

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Maturana's NPI number?

The NPI number for Luis Maturana is 1902199318. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Luis Maturana located?

Luis Maturana practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5136.

What is Luis Maturana's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Luis Maturana enrolled in Medicare?

Yes. Luis Maturana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis Maturana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Maturana reassigns Medicare benefits to Sun River Health Inc (Amenia, NY). 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 Luis Maturana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luis Maturana was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.