Individual provider Active NPI

Robert C Luderer, D.O.

  • Medical Oncology Physician
  • Clarion, PA
National Provider Identifier
1477529329
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS003132L Issued in PA
Practice address
150 Doctors LN
Clarion, PA 16214-8516
Phone
(814) 226-3480
Fax
(814) 226-3489
NPI assigned
Feb 28, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS003132 PA
Medical Oncology Physician 207RX0202X OS003132L PA Primary

Addresses

Primary practice location

150 Doctors LN
Clarion, PA 16214-8516

Mailing address

121 Doctors LN
Clarion, PA 16214-8515
Phone (814) 226-3470

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117000403 PA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5496779522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS003132PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Apr 1, 2021 Accepting new patients
Butler Medical Providers Past Accepting new patients
Butler Medical Providers Medical Oncology Past Accepting new patients
Clarion Forest Vna, Inc PastSince Mar 14, 2024 Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

150 Doctors Ln
#1
Clarion, PA 16214
Phone (814) 226-3480

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

330 N Point Dr
Ste 200
Clarion, PA 16214
Phone (724) 284-4060

Interoperability endpoints

  • Direct secure messaging: luderer_robert@yourcarecommunity.org
  • Direct secure messaging: robert.luderer@direct-address.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clarion Forest Vna, HospiceClarion, PA, CCN 391576 Hospice W-2 Managing Employee Mar 14, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.