Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Matthew Lustig I, MD

Individual provider Nephrology Physician · NPI 1124246335

Dr. Ryan Matthew Lustig I, MD is a Nephrology in Kansas City, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2007, 19 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
19
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS, MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4320 Wornall Rd Ste 208
Kansas City, MO 64111-5941
Phone: (816) 531-0552
Fax: (816) 756-2503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2009032079 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2009032079 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 0434257 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0434257 (KS)

Record details

NPI number1124246335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESDecember 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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