Active NPI
Thomas William Lutz, D.O.
- Hospitalist Physician
- Anchorage, AK
National Provider Identifier
1154312221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 6052
- Practice address
- 4300 B St Ste 200
Anchorage, AK 99503-5933 - Phone
- (907) 375-3355
- Fax
- (907) 375-3351
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6052 | AK | |
| Internal Medicine Physician | 207R00000X | 5101013419 | MI | |
| Hospitalist Physician | 208M00000X | 6052 | AK | Primary |
Addresses
Primary practice location
4300 B St Ste 200
Anchorage, AK 99503-5933
Mailing address
2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6565
Other practice location 1
2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6565
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013419 | MI | MD | Internal Medicine Physician |
| 6052 | AK | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Valley Medical Center LLC | Hospitalist | Past | Accepting new patients |
Organizations & group practices 1
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": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1154312221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S WOODWORTH LOOP",
"city": "PALMER",
"state": "AK",
"postal_code": "996458984",
"telephone_number": "907-861-6565",
"fax_number": "907-861-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 B ST STE 200",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995035933",
"telephone_number": "907-375-3355",
"fax_number": "907-375-3351"
}
],
"practiceLocations": [
{
"address_1": "2500 S Woodworth Loop",
"address_purpose": "LOCATION",
"city": "Palmer",
"state": "AK",
"postal_code": "996458984",
"country_code": "US",
"telephone_number": "907-861-6565",
"fax_number": "907-861-6568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUTZ",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "6052",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101013419",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AK",
"license": "6052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.