Active NPI
Robert C Luderer, D.O.
- Medical Oncology Physician
- Clarion, PA
On this page
- Key facts
- Organizations & group practices8
- Hospital & facility affiliations7
- Owned or controlled facilities with NPI records1
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers1
- NPI Registry JSON
- Other providers in Clarion, PA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- OS003132L
- Practice address
- 150 Doctors LN
Clarion, PA 16214-8516 - Phone
- (814) 226-3480
- Fax
- (814) 226-3489
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Chiropractor
- State College, PA
- NPI 1245588946
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
-
- Certified Registered Nurse Anesthetist
- Butler, PA
- NPI 1710591011
-
- Anatomic Pathology & Clinical Pathology Physician
- Butler, PA
- NPI 1447283031
-
- Home Health Agency
- Clarion, PA
- NPI 1790758928
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Butler, PA
- NPI 1821162314
Hospital
-
- Home Health Agency
- Clarion, PA
- NPI 1790758928
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Clarion, PA
- NPI 1104898709
W-2 Managing Employee
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Philadelphia College of Osteopathic Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Butler Medical ProvidersPhoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1 Hospital Dr
Clarion, PA 16214-8501
Phone (724) 285-0823
127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118
150 Doctors LN
Suite 1
Clarion, PA 16214-8516
Phone (814) 226-3480
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
24 Doctors LN
Clarion, PA 16214-8574
330 N Point Dr
Clarion, PA 16214-3873
Hospital & facility affiliations
- Clarion Forest Vna Inc
- Clarion Forest Vna Hospice
- Independence Health System Clarion Hospital
- Independence Health System Butler Memorial Hospita
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060117000403 | PA | Practitioner - Hematology/Oncology | 5496779522 | Reassigns benefits to 1 organization |
All facility ownership & control disclosures 1
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Clarion Forest Vna, Hospice | Hospice | W-2 Managing Employee | Mar 14, 2024 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS003132 | PA | MD | Internal Medicine Physician |
| OS003132L | PA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Past | Accepting new patients | |
| Butler Medical Providers | Medical Oncology | Past | Accepting new patients |
| Clarion Forest Vna, Inc | Past | Accepting new patients |
Locations
127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550
330 N Point Dr
Ste 200
Clarion, PA 16214
Phone (724) 284-4060
1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336
24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898
150 Doctors Ln
#1
Clarion, PA 16214
Phone (814) 226-3480
Interoperability endpoints
- luderer_robert@yourcarecommunity.org
- robert.luderer@direct-address.net
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS003132 | PA | |
| Medical Oncology Physician | 207RX0202X | OS003132L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
150 Doctors LN
Clarion, PA 16214-8516
Mailing address
121 Doctors LN
Clarion, PA 16214-8515
Phone (814) 226-3470
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006061970008 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2008.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1477529329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DOCTORS LN",
"city": "CLARION",
"state": "PA",
"postal_code": "162148515",
"telephone_number": "814-226-3470",
"fax_number": "814-226-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DOCTORS LN",
"city": "CLARION",
"state": "PA",
"postal_code": "162148516",
"telephone_number": "814-226-3480",
"fax_number": "814-226-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDERER",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS003132",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": "OS003132L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006061970008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.