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JACOB K LUDER MD
NPI 1952396061
Anesthesiology in Sparta, MO

Active since September 14, 2005PECOS Enrolled
705 HURON DR, SPARTA, MO 65753(417) 239-3392 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2022, Dec 23, 2020, Dec 9, 2020 and 2 more (5 updates tracked since 2020).

About Jacob K Luder Md NPPES

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

JACOB K LUDER MD (NPI 1952396061) is an individual anesthesiology provider in Sparta, Missouri, licensed in Missouri (2000151553) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952396061
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACOB K LUDERCredential: MD
Location Address705 HURON DRSparta, MO 65753-1117
Mailing Address705 Huron DrSparta, MO 65753-1117
Phone(417) 239-3392
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateOctober 28, 20225 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1952396061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MO · 2000151553
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
705 HURON DR, Sparta, MO 65753
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Other Identifiers 9

Medicaid158591001AR
Medicaid204957120MO
Other430998MO · Healthlink
Medicaid200077430AOK
Other194111MO · Bcbs
Other11171MO · Cox Health
Medicaid204957104MO
OtherP00194821MO · Railroad
Other20174319965616B003MO · Tricare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob K Luder 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 Jacob Luder's NPI number?

The NPI number for Jacob Luder is 1952396061. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Jacob Luder located?

Jacob Luder practices at 705 Huron Dr, Sparta, MO 65753. The listed phone number is (417) 239-3392.

What is Jacob Luder's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacob Luder enrolled in Medicare?

Yes. Jacob Luder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Luder was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.