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LUZ DANELLY GOTHAM CRNA
NPI 1922247998
Nurse Anesthetist, Certified Registered in Youngstown, OH

Active since February 13, 2009Accepts Medicare Assignment
77.5/100
CMS Quality Rating
8401 MARKET ST, YOUNGSTOWN, OH 44512(330) 729-2929(330) 729-1841 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luz Danelly Gotham Crna NPPES

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

LUZ DANELLY GOTHAM CRNA (NPI 1922247998) is an individual nurse anesthetist, certified registered in Youngstown, Ohio, licensed in Ohio (80909) and active in the NPI registry since February 2009. She is affiliated with Upmc Jameson, maintains a secondary practice location in Youngstown, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922247998
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLUZ DANELLY GOTHAMCredential: CRNA
Location Address8401 MARKET STYoungstown, OH 44512-6725
Mailing Address4135 Boardman Canfield Rd Ste 101Canfield, OH 44406-9803 · (330) 286-5330 · Fax (330) 286-5396
Phone(330) 729-2929
Fax(330) 729-1841
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 13, 2009
Last NPPES UpdateJune 6, 2019
✔ NPI 1922247998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · 80909
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN291902 (OH)
8401 MARKET ST, Youngstown, OH 44512
Open in Google Maps ↗

Secondary Practice Location 1

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 480-3658 · Fax (330) 480-3439

Other Identifiers 5

Other11958330Caqh
OtherP00723133OH · Medicare Railroad
Other000000602907OH · Anthem
Medicaid2948654OH
Other8244021OH · Medicare Ptan

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

Luz Danelly Gotham Crna 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 ID648327890
PECOS Enrollment IDI20230912001519

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

MRS. JESSICA HARRIMAN AUSTIN DO
Internal Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
DR. JEROME CHELLIAH MD, MPH
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
SHREY PATEL DO
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-7960
BENJAMIN MINER
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-8757
DR. JEANINE AWAD-SPIRTOS M.D.
Emergency Medicine
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-2929
ANTONIUS SUSATYO HADI MD
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
ROBERT KOLLER DO
Family Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
MISS AMBER HUNKUS APRN
Nurse Practitioner (Family)
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-4298

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 Luz Gotham's NPI number?

The NPI number for Luz Gotham is 1922247998. It was assigned to this individual provider in the NPPES registry on February 13, 2009.

Where is Luz Gotham located?

Luz Gotham practices at 8401 Market St, Youngstown, OH 44512. The listed phone number is (330) 729-2929.

What is Luz Gotham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Luz Gotham enrolled in Medicare?

Yes. Luz Gotham 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.

Is Luz Gotham affiliated with any hospitals?

According to CMS data, Luz Gotham is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Luz Gotham was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.