YEVGENIY LUTS (DO) – Obstetrics & Gynecology Physician, NPI 1750905048

YEVGENIY LUTS (DO) is a healthcare provider. based in Marlton, New Jersey. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 25MB12408700 (NJ). The NPI Number for YEVGENIY LUTS (DO) is 1750905048

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
YEVGENIY LUTS (DO)
NPI
1750905048
Phone
(856) 855-0340
Address
301 LIPPINCOTT DR STE 410
Enumeration Date
2 June 2020
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8567573700
Graduation Year
2020 (6 years ago)
PAC ID
2769848662
Group Practice PAC ID
1658681184
Professional Enrollment ID
I20241009001140
Address ID
NJ081033109CA1601XAVEX300

Contacts

Secure Messaging
yluts197697@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

1,497 OBSTETRICS/GYNECOLOGY in NJ

Provider Addresses for YEVGENIY LUTS (DO)

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone: (856) 855-0340

    Type: Mailing

  • 6981 N PARK DR STE 300A

    PENNSAUKEN, NJ 081094205

    Phone: (856) 854-4524

    Type: Location

  • 2610 Federal St

    Camden, NJ 081051936

    Phone: (856) 583-2400

    Type: Location

  • 1901 1st Ave

    New York, NY 100297491

    Phone: (212) 423-6271

    Type: Location

  • 817 Federal St

    Camden, NJ 081031539

    Phone: (856) 583-2400

    Type: Location

  • 1901 1ST AVE

    NEW YORK, NY 100297491

    Phone: (212) 432-6271

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20241009001140IObstetrics/GynecologyNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08053)

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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: 1658681184View full group profile
NameSpecialtyState
-NJ
Nurse PractitionerNJ
Family PracticeNJ
-NJ
Nurse PractitionerNJ
-NJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Internal MedicineNJ

Reviews

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Frequently asked questions

Does YEVGENIY LUTS (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — YEVGENIY LUTS (DO) uses 1750905048.
Can I rely on YEVGENIY LUTS (DO) being an active provider?
As of the registry snapshot, YEVGENIY LUTS (DO) is marked active.
What is YEVGENIY LUTS (DO)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for YEVGENIY LUTS (DO) here. Clinical services aligned with this taxonomy classification.
Does YEVGENIY LUTS (DO) list a practice location?
Patients near Marlton, New Jersey may find YEVGENIY LUTS (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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