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

Mark Thomas Vander Lugt, MD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1861562985

Mark Thomas Vander Lugt, MD is a Pediatric Medicine in Ann Arbor, Michigan. Graduated from Medical College of Wisconsin in 2006, 20 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
20
Trained at
Medical College of Wisconsin
Licensed in
MI, PA
In the registry since
2006
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

1500 E Medical Center Drive 7th Fl C.s Mott Childrens Hospital
Ann Arbor, MI 48109-4257
Phone: (734) 936-9814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 4301094130 (MI)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X · Licence MD446513 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence 4301094130 (MI)

Record details

NPI number1861562985
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 2, 2016
Mailing address3621 South State Street, 700 Kms Place, Ann Arbor, MI 48108

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2006 (20 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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