Luke Macyszyn MD Inc
NPI 1104543354ActiveOrganization· Neurological Surgery· Marina Del Rey, CA
Neurological Surgery in Marina Del Rey, California, registered in NPPES in October 2022. The authorized official on file is Luke Macyszyn, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1104543354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2022 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (NV) |
|---|
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