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NPI Code Detail

MEDICARE: JEFFREY S. LUY M.D.

MEDICARE: JEFFREY S. LUY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician0101234176VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00007584OTHERDCRAILROAD MEDICARE DC #
5P00007586OTHERVARAILROAD MEDICARE VA #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932103272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY S. LUY M.D.
Provider Business Mailing Address
First Line : 2901 TELESTAR CT STE 300
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-1263
Country : US
Telephone Number : 703-591-1688
Fax Number : 703-591-1445
Provider Business Practice Location Address
First Line : 11800 SUNRISE VALLEY DR STE 500
Second Line :
City : RESTON
State : VA
Zip : 20191-5303
Country : US
Telephone Number : 703-437-5977
Fax Number : 703-478-2475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/14/2023

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Directions to “ JEFFREY S. LUY M.D.” Practice Location

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