Individual provider Active NPI

Lael M Luedtke, MD

  • Pediatric Orthopaedic Surgery Physician
  • Nashville, TN
National Provider Identifier
1285676668
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
53292 Issued in TN
Practice address
8 City Blvd Ste 300
Nashville, TN 37209-2560
Phone
(615) 329-6600
Fax
(615) 329-4858
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 53292 TN
Pediatric Orthopaedic Surgery Physician 207XP3100X 53292 TN Primary

Addresses

Primary practice location

8 City Blvd Ste 300
Nashville, TN 37209-2560

Mailing address

608 Norris Ave
Nashville, TN 37204-3708
Phone (615) 695-1432

Other identifiers 1

IdentifierTypeStateIssuer
Q018504MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TN, MA, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20031203000331 MN Practitioner - Orthopedic Surgery 7214832278 Reassigns benefits to 1 organization
I20151210000102 TN Practitioner - Orthopedic Surgery 7214832278 Reassigns benefits to 1 organization
I20221201001696 MA Practitioner - Orthopedic Surgery 7214832278 Reassigns benefits to 1 organization
I20240715001618 PA Practitioner - Orthopedic Surgery 7214832278 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53292TNMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children Current Accepting new patients
The Shriners' Hospital for Children Pediatric Orthopaedic Surgery CurrentSince Oct 6, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince May 20, 2024 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 1, 2022 Accepting new patients
The Shriners' Hospital for Children CurrentSince Oct 6, 2022 Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Current Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery Current Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2016 Accepting new patients
Northern Pines Orthopaedic Clinic, P.a. Orthopaedic Surgery PastSince Aug 16, 2004 Accepting new patients

Locations

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

2025 E River Rd
Minneapolis, MN 55414
Phone (612) 301-0115

215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100

3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000

608 Norris Ave
Nashville, TN 37204

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 300
Nashville, TN 37209

Organizations & group practices 10

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1285676668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NORRIS AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043708",
            "telephone_number": "615-695-1432",
            "fax_number": "615-695-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CITY BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092560",
            "telephone_number": "615-329-6600",
            "fax_number": "615-329-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDTKE",
        "first_name": "LAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "53292",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TN",
            "license": "53292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018504",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.