Active NPI 1518923150 Individual Practitioner Male Practitioner

Dr. Michael L Lustbader , MD

Specialist • Beaver, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lustbader, MD is a registered healthcare professional specializing in Specialist in Beaver, PA. Practice services are available at 701 FIFTH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 Fifth Street

Beaver, PA 15009

Telephone 7247756500

Fax 7247756755

Associated Practice Facility / Clinic

🏢 Tri-State Medical Group, Inc. Facility NPI 1619116738

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Beaver, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 51.0 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Beaver, PA (2255 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD031897E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

983011-0004 (PA)

Medicaid State Provider ID

0949960 (OH)

Medicaid State Provider ID

0794145 (OH)

Commercial Insurance / Payer ID Health America

251711755 (PA)

Commercial Insurance / Payer ID Railroad Medicare

34002813 (PA)

Commercial Insurance / Payer ID Upmc

251711755 (PA)

Commercial Insurance / Payer ID Med Plus Individual

10296 (PA)

Commercial Insurance / Payer ID Blue Sheild Pa

105466 (PA)

Commercial Insurance / Payer ID Bwc

251603474-00 (PA)

Commercial Insurance / Payer ID Gateway Individual

1008649 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Satish Dhagat , MD

Urology

NPI 1639165830

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2011

Registered at 701 FIFTH STREET, BEAVER, PA 15009 (Tel: 7247756500)

📍

Updated Business Mailing Address April 07, 2011

Registered at 701 FIFTH STREET, BEAVER, PA 15009 (Tel: 7247756500)

👤

Provider Name / Credentials Updated April 07, 2011

Recorded as MICHAEL LUSTBADER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2011

Specialist (License #MD031897E in PA)

🟢

Initial NPI Registration & Enumeration April 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1518923150

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 22, 2006

Last Update: April 07, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Fifth Street

Beaver, PA 15009

Phone: 7247756500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.