Waldemar Lugo-Alvarez, M.D.
Individual provider Active NPI Internal Medicine Physician · Omak, WA
NPI 1124152905 · NPPES record last updated Oct 26, 2016
Key facts
- NPI
- 1124152905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD60601420 (WA)
- Practice address
- 1003 Koala Ave
Omak, WA 98841-9247 - Phone
- (509) 422-5700
- Fax
- (509) 422-7680
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers
Practice addresses (Care Compare)
1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700
716 1St Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700
Hospital & facility affiliations
- Three Rivers Hospital
- Confluence Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160420000984 | WA | Practitioner - Internal Medicine | 3375619810 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers | Current |
Accepting new patients | |
| Family Health Centers | Current | Accepting new patients | |
| Family Health Centers | Current |
Accepting new patients |
Locations
525 Jay Ave
Brewster, WA 98812
Phone (509) 689-3455
1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913
106 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-0114
Interoperability endpoints
- waldemar.lugo.1@19043.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60601420 | WA | Yes |
Addresses
Primary practice location
1003 Koala Ave
Omak, WA 98841-9247
Mailing address
PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-5700
Other providers in Omak, WA
- Lori E. Carrillo, DC PS Inc
- Christian Lorz
- Mary Allison Lovaas
- Joseph E Love
- Danielle Monetta Lowary
- Mandi Kaye Luna
- Dina K Lund
- Nels Lund
- Catherine A Maclennan
- James Ivan Maeda
All providers in Omak, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.