DAN WILLIAM LUEDKE MD NPI 1669435244

NPI Information

  • NPI: 1669435244
  • Provider Name: DAN WILLIAM LUEDKE, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1475 KISKER RD
    SUITE 180
    ST CHARLES, MO
    ZIP 63304
  • Phone: (636) 442-7300

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NPI Details

Dan William Luedke, MD is a hematology and oncology internal medicine in St Charles, MO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Dan William Luedke, MD NPI is 1669435244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1475 KISKER RD
SUITE 180
ST CHARLES, MO
ZIP 63304
Phone: (636) 442-7300
Fax: (636) 442-7398

The NPI 1669435244 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 enumeration date for this NPI number is 4/6/2006 and was last updated on 9/10/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyD8330TEXASNo
2207RH0003XInternal MedicineHematology & OncologyR8512MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121630OTHERMISSOURIBCBS
23600031OTHERUHC
3830001889OTHERRR MEDICARE
44037806OTHERAETNA
5A10447MEDICARE UPIN
6000004235MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
7202356127MEDICAIDMISSOURI
843616OTHERGHP
9117860OTHERHEALTHLINK

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: 11/21/2025

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