Individual provider Active NPI

Jonathan W Lueders, MD

  • Emergency Medicine Physician
  • Spokane, WA
National Provider Identifier
1366450793
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00033322 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99205-4805
Phone
(509) 474-3131
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00033322 WA Primary

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99205-4805

Mailing address

PO Box 12229
Westminster, CA 92685-2229
Phone (888) 432-2088

Other identifiers 1

IdentifierTypeStateIssuer
1096163MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 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
I20040729000145 WA Practitioner - Emergency Medicine 6800788837 Reassigns benefits to 3 organizations
I20141113001327 CA Practitioner - Emergency Medicine 6800788837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Emergency Physicians PSGroup PAC ID 8527050731, 43 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (877) 346-2211

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Newport Community Hospital Hospital, Newport, WA, CCN 501310

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.06
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 CurrentSince Sep 1, 2016 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Sep 1, 2016 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Dec 11, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 Emergency Medicine Current Accepting new patients
Burbank Emergency Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

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 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1366450793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12229",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852229",
            "telephone_number": "888-432-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054805",
            "telephone_number": "509-474-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00033322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1096163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.