Individual provider Active NPI

Eric E Luebbert, D.O.

  • Diagnostic Radiology Physician
  • Ida Grove, IA
National Provider Identifier
1285694497
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3363 Issued in IA
Practice address
701 E 2ND St
Ida Grove, IA 51445-1699
Phone
(712) 364-3311
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Diagnostic Imaging and Procedure Center, L C 36 clinicians
Iowa Radiology P C 37 clinicians

Practice addresses (Care Compare)

Marshfield, MO 65706
Phone (417) 468-7000

701 E 2ND St
Ida Grove, IA 51445-1666
Phone (712) 364-3311

Hospital & facility affiliations

  • Horn Memorial Hospital Hospital, Ida Grove, IA, CCN 161354
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Loring Hospital Hospital, Sac City, IA, CCN 161370
  • Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
74.6
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031125000795 IA Practitioner - Diagnostic RadiologyPractitioner - Interventional RadiologyPractitioner - Nuclear Medicine 9537063284 Reassigns benefits to 1 organization
I20160328000822 MO Practitioner - Diagnostic Radiology 9537063284 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3363IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BTX Iowa Inc CurrentSince Mar 1, 2018 Accepting new patients
Iowa Radiology, P C Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Eric E. Luebbert, D.O., P.C. Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Iowa Diagnostic Imaging & Procedure Center, L C Diagnostic Radiology CurrentSince Oct 4, 2024 Accepting new patients
Ascension Via Christi Imaging Wichita, LLC Past Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients

Locations (25 of 27)

909 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 963-4400

3625 N Ankeny Blvd
Ste H
Ankeny, IA 50023

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

3714 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 279-6424

1221 Pleasant St
Ste 350
Des Moines, IA 50309

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3363 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

701 E 2ND St
Ida Grove, IA 51445-1699

Mailing address

4200 University Ave Ste 104
West Des Moines, IA 50266-5945
Phone (515) 226-7426

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1285694497MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2024.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1285694497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNIVERSITY AVE STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665945",
            "telephone_number": "515-226-7426",
            "fax_number": "515-226-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451699",
            "telephone_number": "712-364-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBBERT",
        "first_name": "ERIC",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "3363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285694497",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

Verify at the official NPI Registry.