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DR. LUKE STEPHAN ERDOES M.D. NPI 1558355511


NPI Information

NPI: 1558355511
Provider Name: DR. LUKE STEPHAN ERDOES, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 434-7400
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DR. Luke Stephan Erdoes, M.D. is a vascular surgery surgery in Johnson City, TN with 40 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Luke Stephan Erdoes, M.D. NPI is 1558355511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN
ZIP 37604-584
Phone: (423) 434-7400
Fax: (423) 434-7401

The NPI 1558355511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)

The enumeration date for this NPI number is 9/7/2005 and was last updated on 4/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery8186235-1205UTAHNo
22086S0129XSurgeryVascular Surgery116955ALASKANo
32086S0129XSurgeryVascular Surgery34700TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558355511MEDICAIDVIRGINIA
23860965MEDICAIDTENNESSEE
34082499OTHERBCBS OF TN
48856383OTHERCIGNA
5P00136769OTHERRR MEDICARE
6Q030493MEDICAIDTENNESSEE
7TN0181OTHERJDH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.