Joe Lueken Cancer Center – Internal Medicine Physician, NPI 1780628149
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Joe Lueken Cancer Center
1233 34TH ST NW
BEMIDJI, MN 566015112
Phone: (218) 333-5000
Fax: (218) 333-5360
Type: Location
3220 Hannah Ave NW Ste 2
Bemidji, MN 56601
Phone: (218) 209-3600
Type: Location
1720 Highway 59 S
Thief River Falls, MN 567014331
Phone: (218) 683-3937
Fax: (218) 683-2699
Type: Location
3717 Pine Ridge Ave NW
Bemidji, MN 566015106
Phone: (218) 333-4527
Type: Location
614 Michigan Ave W
Walker, MN 564842276
Phone: (218) 547-7700
Fax: (218) 547-7729
Type: Location
111 2nd St NE
Fosston, MN 565421301
Phone: (218) 435-1010
Fax: (218) 435-1715
Type: Location
715 Delmore Dr
Roseau, MN 567511534
Phone: (218) 463-2500
Type: Location
4003 Crosley Ave
Cincinnati, WI 54212
Phone: (218) 333-5000
Type: Location
1400 Highway 71
International Falls, MN 566492154
Phone: (218) 598-5665
Fax: (218) 598-5329
Type: Location
100 Huntsinger Ave
Park Rapids, MN 564701326
Phone: (218) 732-3389
Fax: (218) 732-5994
Type: Location
1580 Highway 71
International Falls, MN 566492131
Phone: (218) 598-5665
Type: Location
1300 Anne St NW
Bemidji, MN 566015103
Phone: (218) 333-5000
Fax: (218) 333-5360
Type: Location
219 Grant Utley Ave NW
Cass Lake, MN 566333619
Phone: (218) 335-2559
Type: Location
992 Starlight Pl
Rockwall, TX 750872294
Phone: (218) 333-5000
Type: Location
4450 Aspenway
Duluth, MN 558109733
Phone: (218) 333-5000
Fax: (218) 333-5880
Type: Location
1656 Central St W Ste A
Bagley, MN 566214357
Phone: (218) 694-2442
Fax: (218) 694-2446
Type: Location
116 3rd St NW
Bemidji, MN 566013102
Phone: (218) 333-2220
Type: Location
110 7th St W
Park Rapids, MN 564701872
Phone: (218) 699-3121
Fax: (218) 699-3995
Type: Location
1009 Hollinger St
Park Rapids, MN 564701300
Phone: (218) 252-6608
Type: Location
1000 Anne St NW
Bemidji, MN 566015109
Phone: (218) 751-0220
Type: Location
1705 Anne St NW
Bemidji, MN 566016151
Phone: (218) 333-5000
Fax: (218) 333-5880
Type: Location
1000 Coney St W
Perham, MN 565732102
Phone: (218) 347-1200
Fax: (218) 347-1290
Type: Location
506 Beltrami Ave NW
Bemidji, MN 566013010
Phone: (218) 751-2020
Type: Location
1656 Central St W
Bagley, MN 566214357
Phone: (218) 694-2384
Type: Location
81 1st St NW
Blackduck, MN 566302228
Phone: (218) 835-4222
Type: Location
801 Broadway N
Fargo, ND 581023641
Phone: (701) 234-2000
Type: Location
1611 Anne St NW
Bemidji, MN 566015114
Phone: (218) 333-5000
Type: Location
4179 8th St SW
Backus, MN 564352340
Phone: (218) 333-5000
Fax: (218) 333-5360
Type: Location
Sanford Bemidji Medical Center, 1300, Anne Street Northwest, Hillcrest Manor, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566015103
Phone: (218) 333-5000
Fax: (218) 333-5360
Type: Mailing
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-6585
Fax: (605) 328-8311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1010 days ago).
Enrollment records
10
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041026001020 | O | Hospital | MN | 2023-08-31 |
| O20150602000945 | O | Clinic/Group Practice | MN | 2024-02-29 |
| O20230608000871 | O | Clinic/Group Practice | TX | TBD |
| O20230616000249 | O | Clinic/Group Practice | OH | TBD |
| O20230915002288 | O | Clinic/Group Practice | ND | TBD |
| O20231011001773 | O | Clinic/Group Practice | MI | TBD |
| O20231012002520 | O | Clinic/Group Practice | SD | TBD |
| O20240606000137 | O | Clinic/Group Practice | IA | TBD |
| O20251015003285 | O | Clinic/Group Practice | WI | TBD |
| O20260109000301 | O | Clinic/Group Practice | MO | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56601)
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