Robert Bruce Lutes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95-103 Issued in NM

Practice address

3937 Ivywood LN
Pueblo, CO 81005-2551

Phone

(719) 553-0111

Fax

(719) 553-0117

NPI assigned

Jan 28, 2007

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CO

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

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.

• Prowers County Hospital District

  dba Prowers Medical Center

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929
  Medicare reassignment NPD
• Prowers County Hospital District

  dba Prowers Medical Center

  • Certified Registered Nurse Anesthetist
  • Lamar, CO
  • NPI 1326246141
  NPD (past)
• Emergency Physicians at Sierra Vista

  • Emergency Medicine Physician
  • Truth Or Consequences, NM
  • NPI 1013966613
  NPD (past)
• Gallinas Emergency Physicians

  • Emergency Medicine Physician
  • Las Vegas, NM
  • NPI 1881882439
  NPD (past)
• PHC-Los Alamos Inc

  dba Los Alamos Medical Center - swing bed unit

  • Medicare Defined Swing Bed Hospital Unit
  • Los Alamos, NM
  • NPI 1215005129
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1972659134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089000",
            "telephone_number": "719-553-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 IVYWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052551",
            "telephone_number": "719-553-0111",
            "fax_number": "719-553-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTES",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030804",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tranquilina Lunder
• Mary Lundgren, D.O.
• Robyn Conrad Luper, RPH
• Susan Lynn Lusero, LCSW
• Erin E Lusher, DO
• Kayla Lutz
• Ashlea R. Lytle, DPT
• M&B Non-Emergency Medical Transportation
• Dana Nicole Mac Farlane
• Raquelina Isabel Macall, LPN

• Family Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.