Active NPI
Andrew J Lueders, MD
- Family Medicine Physician
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-8447
- Practice address
- 2708 Rife Medical Lane
Suite 130
Rogers, AR 72758-1452 - Phone
- (479) 338-5555
- Fax
- (479) 338-5533
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-8447 | AR | Primary |
Addresses
Primary practice location
2708 Rife Medical Lane
Suite 130
Rogers, AR 72758-1452
Mailing address
2708 Rife Medical Lane
Suite 130
Rogers, AR 72758-1452
Phone (479) 338-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131815001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20100628001074 | AR | Practitioner - Family Practice | 3274664610 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
2708 S Rife Medical LN
Suite 130
Rogers, AR 72758-1455
Phone (479) 338-5555
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital Northwest Arkansas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-8447 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2708 S Rife Medical Ln
Ste 130
Rogers, AR 72758
Phone (479) 338-5555
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
Interoperability endpoints
- alueders17196@directc.mercy.net
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
AR
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Otolaryngology Physician
- Rogers, AR
- NPI 1508167677
-
- Surgery Physician
- Rogers, AR
- NPI 1538460662
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1326389404
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rogers, AR
- NPI 1942265160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1609834597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 RIFE MEDICAL LANE",
"address_2": "SUITE 130",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-5555",
"fax_number": "479-338-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 RIFE MEDICAL LANE",
"address_2": "SUITE 130",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581452",
"telephone_number": "479-338-5555",
"fax_number": "479-338-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEDERS",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-8447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131815001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.