Active NPI
David Lutz, MD
- Family Medicine Physician
- Shenandoah, IA
National Provider Identifier
1972186922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-53728
- Practice address
- 1 Jack Foster Dr
Shenandoah, IA 51601-4586 - Phone
- (385) 630-1117
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-53728 | IA | Primary |
Addresses
Primary practice location
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Mailing address
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20241127003452 | IA | Practitioner - Family Practice | 4082149075 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shenandoah Medical Center
Practice addresses (Care Compare)
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230
Hospital & facility affiliations
- Angels Care Home Health of Iowa
- St Croix Hospice
- Shenandoah Medical Center
- Clarinda Regional Health Center
- George C Grape Community Hospital
- Accura Healthcare of Shenandoah
- Garden View Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients |
Locations
1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
Organizations & group practices 8
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.
-
- Community/Retail Pharmacy
- Shenandoah, IA
- NPI 1447937230
-
- Medicare Defined Swing Bed Hospital Unit
- Shenandoah, IA
- NPI 1346304524
-
- Rural Health Clinic/Center
- Shenandoah, IA
- NPI 1427300201
-
- Rural Health Clinic/Center
- Sidney, IA
- NPI 1497150825
-
- Rural Health Clinic/Center
- Tabor, IA
- NPI 1508487547
-
- Emergency Medicine Physician
- Shenandoah, IA
- NPI 1497810956
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Council Bluffs, IA
- NPI 1902805039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1972186922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JACK FOSTER DR",
"city": "SHENANDOAH",
"state": "IA",
"postal_code": "516014586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JACK FOSTER DR",
"city": "SHENANDOAH",
"state": "IA",
"postal_code": "516014586",
"telephone_number": "385-630-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-53728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.