ROBERT ALLEN LUSTIG MD NPI 1275569964

NPI Information

  • NPI: 1275569964
  • Provider Name: ROBERT ALLEN LUSTIG, MD
  • Classification: Radiology - 2085R0203X
  • Specialization: Therapeutic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 SPRUCE STREET
    2 DONNER BLDG
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 662-2428

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NPI Details

Robert Allen Lustig, MD is a therapeutic radiology radiology in Philadelphia, PA with 57 years of experience. The provider is therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology. Robert Allen Lustig, MD NPI is 1275569964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1969

The provider's business location address is:

3400 SPRUCE STREET
2 DONNER BLDG
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2428

The NPI 1275569964 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.

  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Special radiation treatment (HCPCS:77470)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 6/24/2006 and was last updated on 8/8/2007.

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
12085R0203XRadiologyTherapeutic RadiologyMD014859PENNSYLVANIAYes

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
1053948MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
20006979790001MEDICAIDPENNSYLVANIA
31594800MEDICARE PINNEW JERSEY
4B34489MEDICARE UPIN

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: 11/21/2025

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