NPIMap

Individual provider Active NPI

Luke Fletcher Anschutz, M.D.

  • Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1083935522
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27855 Issued in NE
Practice address
1336 W a St Ste B
Lincoln, NE 68522-1231
Phone
(402) 465-5600
Fax
(402) 327-6074
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2011039115 MO
Pediatric Adolescent Medicine Physician 2080A0000X 27855 NE
Pediatrics Physician 208000000X 27855 NE Primary

Addresses

Primary practice location

1336 W a St Ste B
Lincoln, NE 68522-1231

Mailing address

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

Other practice location 1

3262 Salt Creek Cir
Lincoln, NE 68504-4761
Phone (402) 465-5600

Other practice location 2

4020 Hohensee Dr
Lincoln, NE 68516-3927
Phone (402) 465-5600

Other practice location 3

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011039115MOMDPediatrics Physician
27855NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center Past Accepting new patients
Complete Children'S Health, P.C. Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1083935522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 NORTHWOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053092",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W A ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221231",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3262 Salt Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685044761",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Hohensee Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685163927",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685053092",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSCHUTZ",
        "first_name": "LUKE",
        "middle_name": "FLETCHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2011039115",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NE",
            "license": "27855",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "27855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.