ALLEN LUTZ – Student in an Organized Health Care Education/Training Program, NPI 1396234928
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,337 ANESTHESIOLOGY in VA
Provider Addresses for ALLEN LUTZ
1250 E Marshall St
Richmond, VA 232985023
Phone: (804) 828-2207
Fax: (804) 828-8300
Type: Location
618 Hospital Rd
Tappahannock, VA 225605000
Phone: (804) 443-3311
Fax: (804) 443-6150
Type: Location
8901 WISCONSIN AVE ANESTHESIOLOGY
BETHESDA, MD 208890001
Phone: (301) 295-9382
Type: Mailing
PO BOX 780125
PHILADELPHIA, PA 191780125
Phone: (804) 922-4844
Type: Mailing
36065 SANTA FE AVE
FORT HOOD, TX 765445060
Phone: (254) 553-0627
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 765445060
Phone: (254) 553-0627
Type: Location
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: 2023-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231113002258 | I | Anesthesiology | TX | TBD |
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.
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 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| - | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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