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MARK THOMAS VANDER LUGT M.D.
NPI 1861562985
Pediatrics - Pediatric Hematology-Oncology in Ann Arbor, MI

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
1500 EAST MEDICAL CENTER DRIVE, 7TH FLOOR C.S. MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109(734) 936-9814 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Thomas Vander Lugt M.d. NPPES

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

MARK THOMAS VANDER LUGT M.D. (NPI 1861562985) is an individual pediatric hematology-oncology provider in Ann Arbor, Michigan, licensed in Michigan (4301094130) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2006).

NPPES Registry Identity

NPI1861562985
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameMARK THOMAS VANDER LUGTCredential: M.D.
Location Address1500 EAST MEDICAL CENTER DRIVE, 7TH FLOOR C.S. MOTT CHILDRENS HOSPITALAnn Arbor, MI 48109-4257
Mailing Address3621 South State Street, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 936-9814
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2006
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 2, 2016
✔ NPI 1861562985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in MI · 4301094130✔ Licensed in PA · MD446513
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 4301094130 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 EAST MEDICAL CENTER DRIVE, Ann Arbor, MI 48109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Thomas Vander Lugt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921257189
PECOS Enrollment IDI20160727001356
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CINDY FELCHER PA-C
Physician Assistant
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5850
JANA SUZANNE BARKMAN NP
Nurse Practitioner (Acute Care)
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI 48109
Washtenaw County (734) 936-7010
KAREN KAURANEN
Occupational Therapist
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 936-7070
ANN M RAMSEY NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI 48109
Washtenaw County (734) 764-4123
DR. SUSAN RIGGS RUNGE MD
Dermatology
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR TAUBMAN CENTER RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4054
BENJAMIN MARTIN BLY MD
Psychiatry & Neurology (Neurology)
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR UNIVERSITY HOSPITAL ROOM 1B300
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9035
AISHA YOUSUF MD
Obstetrics & Gynecology
1500 EAST MEDICAL CENTER DRIVE, L4100 WOMENS
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9434
KATHARINE ANNE THORNSBERRY NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DRIVE, 11TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4978

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 Mark Vander Lugt's NPI number?

The NPI number for Mark Vander Lugt is 1861562985. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mark Vander Lugt located?

Mark Vander Lugt practices at 1500 East Medical Center Drive 7th Floor C.S. Mott Childrens Hospital, Ann Arbor, MI 48109. The listed phone number is (734) 936-9814.

What is Mark Vander Lugt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Mark Vander Lugt enrolled in Medicare?

Yes. Mark Vander Lugt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Vander Lugt accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Mark Vander Lugt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Vander Lugt was last updated on August 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.