Individual provider Active NPI

Peter J. Lusche, M.D.

  • Psychiatry Physician
  • Opelika, AL
National Provider Identifier
1821053760
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23180 Issued in AL
Practice address
3320 Skyway Dr
Suite 801
Opelika, AL 36801-7137
Phone
(334) 821-0238
Fax
(334) 821-6685
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 23180 AL
Psychiatry Physician 2084P0800X 23180 AL Primary

Addresses

Primary practice location

3320 Skyway Dr
Suite 801
Opelika, AL 36801-7137

Mailing address

3320 Skyway Dr
Suite 801
Opelika, AL 36801-7137
Phone (334) 821-0238

Other identifiers 3

IdentifierTypeStateIssuer
529905580OtherALALABAMA MEDICAID GROUP #
510-98477OtherALBLUE CROSS OF AL PROVIDER
009936990MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20141002001648 AL Practitioner - Psychiatry 9739361361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Physicians, LLCGroup PAC ID 8820213309, 12 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-3871

2740 Village Professional Dr
Opelika, AL 36801-2379
Phone (334) 821-0238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23180ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Physicians, LLC CurrentSince Mar 17, 2014 Accepting new patients
The East Alabama Health Care Authority CurrentSince Sep 5, 2000 Accepting new patients
The East Alabama Health Care Authority CurrentSince Sep 5, 2000 Accepting new patients
East Alabama Physicians, LLC Psychiatry CurrentSince Mar 17, 2014 Accepting new patients
East Alabama Mental Health-Mental Retardation Board Incorpor Past Accepting new patients
The East Alabama Health Care Authority Past Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

3320 Skyway Dr
Ste 801
Opelika, AL 36801
Phone (334) 742-9102

2740 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-3871

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1821053760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR",
            "address_2": "SUITE 801",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017137",
            "telephone_number": "334-821-0238",
            "fax_number": "334-821-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR",
            "address_2": "SUITE 801",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017137",
            "telephone_number": "334-821-0238",
            "fax_number": "334-821-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCHE",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "23180",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "23180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAID GROUP #",
            "identifier": "529905580",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL PROVIDER",
            "identifier": "510-98477",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.