NPIMap

Individual provider Active NPI

Mark Ludka, M.D.

  • Diagnostic Radiology Physician
  • Saginaw, MI
National Provider Identifier
1366412942
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301055862 Issued in MI
Practice address
3400 N Center Rd
Suite 400
Saginaw, MI 48603-7920
Phone
(989) 799-5600
Fax
(989) 799-7430
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301055862 MI Primary

Addresses

Primary practice location

3400 N Center Rd
Suite 400
Saginaw, MI 48603-7920

Mailing address

3264 N Evergreen Drive NE
Grand Rapids, MI 49525
Phone (616) 363-7272

Other identifiers 1

IdentifierTypeStateIssuer
3454464MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000044 MI Practitioner - Diagnostic Radiology 9638075112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology Services PCGroup PAC ID 4284546516, 252 clinicians

Practice addresses (Care Compare)

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (616) 363-7272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current Accepting new patients
Advanced Radiology Services PC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 3, 2010 Accepting new patients
Covenant Medical Center, Inc Diagnostic Radiology CurrentSince Oct 3, 2010 Accepting new patients
Midmichigan Regional Imaging Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

600 N Main St
Ste 220B
Frankenmuth, MI 48734
Phone (989) 583-6521

3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5570 State St
Ste 3
Saginaw, MI 48603
Phone (989) 583-0115

3400 N Center Rd
Ste 400
Saginaw, MI 48603
Phone (989) 799-5600

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

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 10

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1366412942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DRIVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-363-7272",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N CENTER RD",
            "address_2": "SUITE 400",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037920",
            "telephone_number": "989-799-5600",
            "fax_number": "989-799-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDKA",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301055862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3454464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.