NPIMap

Individual provider Active NPI

Patrick Luft

  • Family Medicine Physician
  • Denison, IA
National Provider Identifier
1508420027
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-48815 Issued in IA
Practice address
100 Medical Pkwy
Denison, IA 51442-2299
Phone
(712) 265-2500
NPI assigned
Apr 30, 2019
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-48815 IA Primary

Addresses

Primary practice location

100 Medical Pkwy
Denison, IA 51442-2299

Mailing address

100 Medical Pkwy
Denison, IA 51442-2299
Phone (712) 265-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210902002353 IA Practitioner - Family Practice 4981947165 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Crawford County Memorial HospitalGroup PAC ID 7810890555, shared by 5 NPIs, 20 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

100 Medical Pkwy
Denison, IA 51442-2607
Phone (712) 265-2500

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48815IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford County Memorial Hospital Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Decatur County Hospital CurrentSince Apr 15, 2022 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Crawford County Memorial Hospital Family Medicine Past Accepting new patients

Locations

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

2016 1st Ave S
Denison, IA 51442
Phone (712) 263-3388

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

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

Hospital & facility affiliations 9

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1508420027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422299",
            "telephone_number": "712-265-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422299",
            "telephone_number": "712-265-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFT",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-48815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.