DR. ALLAN JAMES LUISTRO M.D. NPI 1073648259

NPI Information

  • NPI: 1073648259
  • Provider Name: DR. ALLAN JAMES LUISTRO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1104 7TH AVE S.
    BOX 92 MSUM HENDRIX CLINIC & COUNSELING CENTER
    MOORHEAD, MN
    ZIP 56563
  • Phone: (218) 477-2211

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NPI Details

DR. Allan James Luistro, M.D. is a family medicine in Moorhead, MN with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Allan James Luistro, M.D. NPI is 1073648259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

1104 7TH AVE S.
BOX 92 MSUM HENDRIX CLINIC & COUNSELING CENTER
MOORHEAD, MN
ZIP 56563
Phone: (218) 477-2211
Fax: (218) 477-5867

The NPI 1073648259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 2/21/2007 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine37656MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F28280MEDICARE UPINMINNESOTA
217256MEDICAIDNORTH DAKOTA
3804733200MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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