Individual provider Active NPI

Michael A Ludwig, MD

  • Physical Medicine & Rehabilitation Physician
  • Coeur D Alene, ID
National Provider Identifier
1245330208
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M-9338 Issued in ID
Practice address
1839 N Government Way
Coeur D Alene, ID 83814-3454
Phone
(208) 765-0156
Fax
(208) 292-3177
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M-9338 ID Primary

Addresses

Primary practice location

1839 N Government Way
Coeur D Alene, ID 83814-3454

Mailing address

1839 N Government Way
Coeur D Alene, ID 83814-3454
Phone (208) 765-0156

Other identifiers 6

IdentifierTypeStateIssuer
8948153OtherCRIME VICTIMS COMP FUND
P00242347OtherRR MEDICARE
0216896OtherWAWASHINGTON L & I
75366OtherIDBLUE CROSS
000010151353OtherREGENCE BLUESHIELD
806887300MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000115 ID Practitioner - Physical Medicine and Rehabilitation 7113902438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1839 N Government Way
Suite a
Coeur D Alene, ID 83814-3454
Phone (208) 765-0156

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Engineering

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Occupational Medicine Group Physical Medicine & Rehabilitation CurrentSince Sep 1, 2021 Accepting new patients
U-U Rehabilitation Medicine Physical Medicine & Rehabilitation Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

3318 N Grandmill Ln
Coeur D Alene, ID 83814
Phone (208) 277-1060

1839 N Government Way
Ste A
Coeur D Alene, ID 83814
Phone (208) 765-0156

1839 N Government Way
Coeur D Alene, ID 83814
Phone (208) 765-0156

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1245330208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143454",
            "telephone_number": "208-765-0156",
            "fax_number": "208-292-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143454",
            "telephone_number": "208-765-0156",
            "fax_number": "208-292-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M-9338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMP FUND",
            "identifier": "8948153",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00242347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L & I",
            "identifier": "0216896",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "75366",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "000010151353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806887300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.