DR. LUZDIVINA ANA VINE (M.D.) – Emergency Medicine Physician, NPI 1831454677

DR. LUZDIVINA ANA VINE (M.D.) is a healthcare provider. based in Biloxi, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 84846 (GA). The NPI Number for DR. LUZDIVINA ANA VINE (M.D.) is 1831454677

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUZDIVINA ANA VINE (M.D.)
NPI
1831454677
Phone
(228) 376-0500
Address
301 FISHER ST
Enumeration Date
9 July 2012
Last Update Date
5 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7707512555
Graduation Year
2012 (14 years ago)
PAC ID
2860720281
Group Practice PAC ID
6800981986
Professional Enrollment ID
I20200427002123
Address ID
GA300764915RO3000XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

Provider Addresses for DR. LUZDIVINA ANA VINE (M.D.)

  • 301 FISHER ST

    BILOXI, MS 395342508

    Phone: (228) 376-0500

    Type: Mailing

  • 5665 New Northside Dr Ste 320

    Atlanta, GA 303285834

    Phone: (770) 874-5400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Octapharma USA, Inc. ($30).

Total Amount

$55

General + Research + Ownership

Payments

2

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200427002123IEmergency MedicineGATBD
I20200916000597IEmergency MedicineTXTBD
I20230416000035IEmergency MedicineSCTBD
I20250511000012IEmergency MedicineFLTBD
I20251226001664IEmergency MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making262255$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only202184$0
99284Emergency department visit with moderate level of medical decision making100100$0
99291Critical care, first 30-74 minutes4343$0
View full utilization report →

Insurance plans in this area (ZIP 39534)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800981986View full group profile
NameSpecialtyState
-GA
-TX
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineKS
Emergency MedicineMI
Emergency MedicineGA
Emergency MedicineSC
Emergency MedicineGA

Reviews

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Frequently asked questions

Can I cross-check DR. LUZDIVINA ANA VINE (M.D.) using NPI 1831454677?
NPI 1831454677 belongs to DR. LUZDIVINA ANA VINE (M.D.); compare other details if you need extra assurance.
Would DR. LUZDIVINA ANA VINE (M.D.) appear as active to a payer?
You can treat DR. LUZDIVINA ANA VINE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. LUZDIVINA ANA VINE (M.D.)?
DR. LUZDIVINA ANA VINE (M.D.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LUZDIVINA ANA VINE (M.D.) located near Biloxi?
DR. LUZDIVINA ANA VINE (M.D.) currently maps to Biloxi, Mississippi in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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