Individual provider Active NPI

Jaivanti Lohano, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1003000902
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41402 Issued in KY
Practice address
2215 Portland Ave
Louisville, KY 40212-1033
Phone
(502) 774-8631
Fax
(502) 778-3499
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01063381A IN
Family Medicine Physician 207Q00000X 41402 KY Primary

Addresses

Primary practice location

2215 Portland Ave
Louisville, KY 40212-1033

Mailing address

2215 Portland Ave
Louisville, KY 40212-1033
Phone (502) 774-8631

Other identifiers 1

IdentifierTypeStateIssuer
7100065920MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlohano20061@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000606 IN Practitioner - Family Practice 1153415187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

3605 Northgate CT
Suite 209
New Albany, IN 47150-6422
Phone (812) 542-4921

Hospital & facility affiliations

  • Baptist Home Health Care of Indiana Home health agency, New Albany, IN, CCN 157152
  • Amedisys Hospice Hospice, Jeffersonville, IN, CCN 151605
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063381AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Floyd Memorial Medical Group LLC Family Medicine Past Accepting new patients
Floyd Memorial Hospital and Health Services Family Medicine Past Accepting new patients

Locations

5300 State Road 64
Ste 101
Georgetown, IN 47122
Phone (812) 590-6555

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

2125 State St
Ste 1
New Albany, IN 47150
Phone (812) 949-7151

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Interoperability endpoints

  • FHIR API: https://epicproxy.et0819.epichosted.com/APIPROXYPRD/Norton/api/FHIR/R4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://epicproxy.bhsi.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1003000902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PORTLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121033",
            "telephone_number": "502-774-8631",
            "fax_number": "502-778-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 PORTLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121033",
            "telephone_number": "502-774-8631",
            "fax_number": "502-778-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHANO",
        "first_name": "JAIVANTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01063381A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100065920",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlohano20061@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2215 Portland Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402121033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.