Active NPI
Edgar A. Lueg, MD
- Otolaryngology Physician
- Ventura, CA
National Provider Identifier
1831260884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A52915
- Practice address
- 2660 E Main St Ste 201
Ventura, CA 93003-2773 - Phone
- (805) 643-9999
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A52915 | CA | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | A52915 | CA | |
| Otolaryngic Allergy Physician | 207YX0602X | A52915 | CA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A52915 | CA | |
| Otology & Neurotology Physician | 207YX0901X | A52915 | CA | |
| Pediatric Otolaryngology Physician | 207YP0228X | A52915 | CA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | A52915 | CA | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | A52915 | CA |
Addresses
Primary practice location
2660 E Main St Ste 201
Ventura, CA 93003-2773
Mailing address
2660 E Main St Ste 201
Ventura, CA 93003-2773
Phone (805) 643-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A529150 | Other | CA | MEDICAL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050601001107 | CA | Practitioner - Otolaryngology | 1557304441 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2660 E Main St
Ventura, CA 93003-2773
Phone (805) 643-9999
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.5 of 100
- Quality
- 65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52915 | CA | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose & Throat - Head and Neck Surgery P.C. | Otolaryngology | Past | Accepting new patients |
| Community Memorial Health System | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1699868596
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1831260884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 E MAIN ST STE 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032773",
"telephone_number": "805-643-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 E MAIN ST STE 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032773",
"telephone_number": "805-643-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEG",
"first_name": "EDGAR",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A52915",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A52915",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "CA",
"license": "A52915",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "A52915",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "CA",
"license": "A52915",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CA",
"license": "A52915",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "A52915",
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "CA",
"license": "A52915",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "00A529150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.