Individual provider Active NPI

Luke Philip Dreisbach, M.D.

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
National Provider Identifier
1831109792
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A70978 Issued in CA
Practice address
34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone
(760) 568-3613
Fax
(760) 340-5189
NPI assigned
Aug 9, 2006
Last updated
May 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A70978 CA Primary

Addresses

Primary practice location

34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000

Mailing address

34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone (760) 568-3613

Other practice location 1

39800 Bob Hope Dr
Ste C
Rancho Mirage, CA 92270-3920
Phone (760) 568-3613

Other identifiers 2

IdentifierTypeStateIssuer
00A709780MedicaidCA
110223636OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080611000482 CA Practitioner - Hematology/Oncology 5890704126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Hematology-Oncology Medical Group IncGroup PAC ID 2567470214, 10 clinicians

Practice addresses (Care Compare)

34490 Bob Hope Dr
Rancho Mirage, CA 92270-1713
Phone (760) 568-3613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70978CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hematology-Oncology Medical Group Inc Hematology & Oncology CurrentSince Mar 3, 2000 Accepting new patients

Locations

34490 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 568-3613

39800 Bob Hope Dr
Ste C
Rancho Mirage, CA 92270
Phone (760) 568-3613

Organizations & group practices 1

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 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1831109792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34490 BOB HOPE DR.",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700000",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34490 BOB HOPE DR.",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700000",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39800 Bob Hope Dr",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703920",
            "country_code": "US",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "LUKE",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A70978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A709780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110223636",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.