Patrick Frank Luedtke, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4929802-1205 Issued in UT

Practice address

151 W. 7TH Avenue
Room 420
Eugene, OR 87401

Phone

(541) 682-8762

Fax

(541) 682-2455

NPI assigned

Jan 4, 2007

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.luedtke.p1@direct.lanecounty.nextgenshare.com
• Direct secure messaging: pluedtke698361@direct.ochin.org

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.

• Lane County Oregon

  dba Community health Centers of Lane County

  • Federally Qualified Health Center (FQHC)
  • Springfield, OR
  • NPI 1326138314
  Medicare reassignment NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1972650638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W. 7TH AVENUE",
            "address_2": "ROOM 420",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "87401",
            "telephone_number": "541-682-8762",
            "fax_number": "541-682-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W. 7TH AVENUE",
            "address_2": "ROOM 420",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "87401",
            "telephone_number": "541-682-8762",
            "fax_number": "541-682-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDTKE",
        "first_name": "PATRICK",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "4929802-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6885",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Anna Lucas, MS-FNP
• Serena Ann-Lee Luce, PA-C
• Moises Lucero
• Cherie Pert Lumapas Luciano
• Jennifer R Ludwig, LMFT
• Patricia Anne Luehrs, RN
• Paula Luginbuhl, PH.D.
• Joseph Louis Luiso III, OD
• Luke Adler Healing
• Angela Lukens, CADC 1

• Internal Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.