Active NPI
Richard E Lutz, MD
- Clinical Genetics (M.D.) Physician
- Omaha, NE
National Provider Identifier
1992755326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 21540
- Practice address
- 988102 Nebraska Medical Ctr
Omaha, NE 68198-8102 - Phone
- (402) 559-6402
- Fax
- (402) 559-5731
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 21540 | NE | Primary |
Addresses
Primary practice location
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 559-6402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21540 | Other | NE | NE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shenandoah Medical Center
Practice addresses (Care Compare)
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Clinical Genetics (M.D.) | Current | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1992755326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102",
"telephone_number": "402-559-6402",
"fax_number": "402-559-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102",
"telephone_number": "402-559-6402",
"fax_number": "402-559-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NE",
"license": "21540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE LICENSE",
"identifier": "21540",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.
- 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.