MARK THOMAS VANDER LUGT M.D. NPI 1861562985

NPI Information

  • NPI: 1861562985
  • Provider Name: MARK THOMAS VANDER LUGT, M.D.
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 EAST MEDICAL CENTER DRIVE
    7TH FLOOR C.S. MOTT CHILDRENS HOSPITAL
    ANN ARBOR, MI
    ZIP 48109
  • Phone: (734) 936-9814

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NPI Details

Mark Thomas Vander Lugt, M.D. is a pediatric hematology-oncology pediatrics in Ann Arbor, MI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Mark Thomas Vander Lugt, M.D. NPI is 1861562985. 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:

1500 EAST MEDICAL CENTER DRIVE
7TH FLOOR C.S. MOTT CHILDRENS HOSPITAL
ANN ARBOR, MI
ZIP 48109-257
Phone: (734) 936-9814

The NPI 1861562985 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 11/8/2006 and was last updated on 8/2/2016.

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
12080P0207XPediatricsPediatric Hematology-OncologyMD446513PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208000000XPediatrics4301094130MICHIGANNo
42080P0207XPediatricsPediatric Hematology-Oncology4301094130MICHIGANYes

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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