NPIMap

Individual provider Active NPI

Carl Dominick Luem, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Billings, MT
National Provider Identifier
1477707404
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
8790853-1205 Issued in UT
Practice address
2900 12TH Ave N Ste 295W
Billings, MT 59101
Phone
(406) 238-6360
Fax
(406) 238-6361
NPI assigned
Nov 4, 2008
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LL18028 OR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 8790853-1205 UT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 295W
Billings, MT 59101

Mailing address

2900 12TH Ave N Ste 295W
Billings, MT 59101-7504
Phone (406) 238-6360

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Other practice location 2

30 N 1900 E
Salt Lake City, UT 84132-3011
Phone (801) 581-7201

Other practice location 3

30 N 1900 E
Salt Lake City, UT 84132-3011
Phone (801) 581-7201

Other names 1

  • Nick Luem Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20180730002709 MT Practitioner - Pathology 5092996249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Oregon Health Sciences University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yellowstone Pathologists PCGroup PAC ID 8123012986, 8 clinicians

Practice addresses (Care Compare)

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 585-1004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8790853-1205UTMDAnatomic Pathology & Clinical Pathology Physician
LL18028ORMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone Pathologists, PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 23, 2018 Accepting new patients
Yellowstone Pathology Institute, Inc. Past Accepting new patients

Locations

2900 12th Ave N
Ste 295W
Billings, MT 59101
Phone (406) 238-6360

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 2

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 15

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

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1477707404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 295W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017504",
            "telephone_number": "406-238-6360",
            "fax_number": "406-238-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 295W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59101",
            "telephone_number": "406-238-6360",
            "fax_number": "406-238-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 1900 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841323011",
            "country_code": "US",
            "telephone_number": "801-581-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 1900 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841323011",
            "country_code": "US",
            "telephone_number": "801-581-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEM",
        "first_name": "CARL",
        "middle_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "LL18028",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "8790853-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "LUEM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.