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DR. LUKE GUDDE MD
NPI 1295422160
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 20, 2023PECOS Enrolled
1141 N 12TH ST, 2ND FLOOR, PHOENIX, AZ 85006(602) 521-5969 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luke Gudde Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUKE GUDDE MD (NPI 1295422160) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1295422160
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LUKE GUDDECredential: MD
Location Address1141 N 12TH ST, 2ND FLOORPhoenix, AZ 85006-0000
Mailing Address10801 E Happy Valley Rd Lot 88Scottsdale, AZ 85255-8170 · (425) 941-3519
Phone(602) 521-5969
Sole ProprietorYes
Enumeration DateApril 20, 2023
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 10, 2024
✔ NPI 1295422160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1141 N 12TH ST, Phoenix, AZ 85006
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Secondary Practice Location 1

Location 16431 Fannin St, MSB 2.116BHouston, TX 77030 · Phone (713) 500-7643

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luke Gudde Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Gudde's NPI number?

The NPI number for Luke Gudde is 1295422160. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Luke Gudde located?

Luke Gudde practices at 1141 N 12th St 2nd Floor, Phoenix, AZ 85006. The listed phone number is (602) 521-5969.

What is Luke Gudde's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luke Gudde enrolled in Medicare?

Yes. Luke Gudde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Gudde was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.