Individual provider Active NPI

Luke Eastburg, MD

  • Hematology (Internal Medicine) Physician
  • Grand Rapids, MI
National Provider Identifier
1649626508
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
4301511990 Issued in MI
Practice address
5800 Foremost Dr SE Ste 200
Grand Rapids, MI 49546-7062
Phone
(616) 389-1800
NPI assigned
May 10, 2016
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 301369 NY
Hematology (Internal Medicine) Physician 207RH0000X 4301511990 MI Primary
Internal Medicine Physician 207R00000X 301369 NY

Addresses

Primary practice location

5800 Foremost Dr SE Ste 200
Grand Rapids, MI 49546-7062

Mailing address

5800 Foremost Dr SE Ste 200
Grand Rapids, MI 49546-7062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200807001071 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7214222041 Reassigns benefits to 4 organizations
I20240613001342 MI Practitioner - HematologyPractitioner - Internal Medicine 7214222041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 Michigan St NE
Suite 3100
Grand Rapids, MI 49503-2563
Phone (616) 954-9800

15100 220TH Ave
Big Rapids, MI 49307-9248
Phone (231) 515-9410

5800 Foremost Dr SE
Grand Rapids, MI 49546-7062
Phone (616) 954-9800

6425 S Harvey St
Norton Shores, MI 49444-9739
Phone (231) 737-3469

710 Kenmoor Ave SE
Suite 200
Grand Rapids, MI 49546-2379
Phone (616) 389-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Complex Care Center CurrentSince Jul 6, 2020 Accepting new patients
Internal Medicine Group CurrentSince Dec 19, 2020 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Aug 1, 2024 Accepting new patients
University of Rochester CurrentSince Jul 6, 2020 Accepting new patients
Internal Medicine Group Internal Medicine CurrentSince Dec 19, 2020 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Michigan MRT Holdings, LLC CurrentSince Jun 8, 2025 Accepting new patients
University of Rochester Internal Medicine Current Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jul 6, 2020 Accepting new patients
University of Rochester Internal Medicine CurrentSince Jul 6, 2020 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 6, 2020 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

5800 Foremost Dr SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 389-1800

710 Kenmoor Ave SE
Grand Rapids, MI 49546
Phone (616) 389-1800

710 Kenmoor Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 588-7246

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

905 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892

913 Culver Rd
Rochester, NY 14609
Phone (585) 654-5432

Interoperability endpoints

  • Direct secure messaging: leastburg107094@direct.urmc.rochester.edu
  • Direct secure messaging: leastburg3449091@direct.trinity-health.org
  • Direct secure messaging: luke.eastburg.1@25394.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1649626508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062",
            "telephone_number": "616-389-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTBURG",
        "first_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "301369",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MI",
            "license": "4301511990",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.