Individual provider Active NPI

David P Lusk, M.D.

  • Family Medicine Physician
  • Ridgecrest, CA
National Provider Identifier
1831193408
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G57066 Issued in CA
Practice address
900 N Heritage Dr
BLDG a
Ridgecrest, CA 93555-5536
Phone
(760) 446-4571
Fax
(760) 446-0970
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 G57066 CA Primary

Addresses

Primary practice location

900 N Heritage Dr
BLDG a
Ridgecrest, CA 93555-5536

Mailing address

900 N Heritage Dr
BLDG a
Ridgecrest, CA 93555-5536
Phone (760) 446-4571

Other identifiers 9

IdentifierTypeStateIssuer
00G570660OtherBLUE SHIELD
010032908OtherRAILROAD MEDICARE
93555B033OtherTRIWEST/TRICARE
00G570660OtherBLUE CROSS
00G570660MedicaidCA
00G570660OtherCOMMERCIAL INSURANCE
CA0103OtherJOHN DEERE
0616650001OtherDME
688278OtherAHI HEALTH LINK

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
I20080711000457 CA Practitioner - Family Practice 4385716026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Douglas E Roberts Jr MD a Professional CorporationGroup PAC ID 8921154592, 3 clinicians

Practice addresses (Care Compare)

900 N Heritage Dr
Suite E
Ridgecrest, CA 93555-5537
Phone (760) 446-4571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.63 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
40
Cost
75.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57066CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas E Roberts Jr MD a Professional Corporation CurrentSince Jul 18, 2009 Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients

Locations

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

900 N Heritage Dr
Ste E
Ridgecrest, CA 93555
Phone (760) 375-4300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17265/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831193408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N HERITAGE DR",
            "address_2": "BLDG A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555536",
            "telephone_number": "760-446-4571",
            "fax_number": "760-446-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HERITAGE DR",
            "address_2": "BLDG A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555536",
            "telephone_number": "760-446-4571",
            "fax_number": "760-446-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G57066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G570660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010032908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST/TRICARE",
            "identifier": "93555B033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G570660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G570660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "00G570660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "CA0103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0616650001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHI HEALTH LINK",
            "identifier": "688278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.