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Deactivated NPI 1144200072 Deactivated / Inactive NPI Male Practitioner

Dr. Edwin R Luxenberg , MD

Pediatrics • Logansport, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Luxenberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2006
NPI Deactivation Date February 21, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Luxenberg, MD was a registered Pediatrics practicing in Logansport, IN. Throughout an active medical career spanning 18 years, Dr. Luxenberg provided care at the practice location at 1201 MICHIGAN AVE until profile deactivation on 2024-02-21.

Practice Location & Contact Primary Location

Practice Address

1201 Michigan Ave
Suite 330

Logansport, IN 469471580

Telephone 5747534151
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Logansport, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Logansport, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01023530A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1043388127

Doctor of Medicine (M.D.)

Zhengyi Wang

Pediatrics

NPI 1669603890

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 21, 2024

Record deactivated on February 21, 2024

NPI Profile Active July 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2011

Registered at 1201 MICHIGAN AVE, SUITE 330, LOGANSPORT, IN 469471580 (Tel: 5747534151)

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Updated Business Mailing Address July 20, 2011

Registered at 1201 MICHIGAN AVE, SUITE 330, LOGANSPORT, IN 469471580 (Tel: 5747534151)

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Provider Name / Credentials Updated July 20, 2011

Recorded as EDWIN LUXENBERG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2011

Pediatrics (License #01023530A in IN)

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Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144200072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: July 20, 2011
Deactivation Date: February 21, 2024

Mailing Address

1201 Michigan Ave, Suite 330

Logansport, IN 469471580

Phone: 5747534151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.