Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derric Lutsko, CAA

Individual provider Anesthesiologist Assistant · NPI 1164271557

Mr. Derric Lutsko, CAA is an Anesthesiology Assistant in Washington, District of Columbia. Qualified in 2024, 2 years ago. Practices with Medical Faculty Associates, Inc, a 684-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

900 23rd St NW Ste G-2092
Washington, DC 20037-2342
Phone: (202) 823-4220
Fax: (202) 715-4759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1164271557
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Faculty Associates, Inc — 684 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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