THOMAS J. LUETKEHANS MD – NPI #1821089160
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

THOMAS LUETKEHANS is a radiologist located in OLYMPIA, WA. NPPES has assigned the NPI number 1821089160 to THOMAS LUETKEHANS on November 04, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 6 years ago on Oct 08, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS LUETKEHANS below.

NPI Profile for
THOMAS J. LUETKEHANS

NPI Number
1821089160
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS J. LUETKEHANS
Credentials
MD
Primary location
3417 ENSIGN RD NE
OLYMPIA, WA 98506-5075
Phone: (360) 493-4609 Fax: (360) 493-4603
Mailing address
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036-4748
Phone: (425) 563-1500 Fax: (425) 563-1374
Sole Proprietor
No
Updated
Certification Date
Oct 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THOMAS LUETKEHANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERL&I-RADIAWA0384820
OTHERL&I-SOUTH SOUND RADIOLOGYWA078229
MEDICAIDWA8137457
MEDICAIDWA1045797
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
WA MD00029619
2085R0202X
- Radiology / Diagnostic Radiology
WA MD00029619

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.