Active NPI
Dean A Lusardi, MD
- Orthopaedic Surgery Physician
- San Antonio, TX
National Provider Identifier
1003856576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- Q8291
- Practice address
- 8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931 - Phone
- (210) 450-9300
- Fax
- (210) 450-6023
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2000156464 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 107013 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | Q8291 | TX | Primary |
Addresses
Primary practice location
8300 Floyd Curl Dr FL 3
San Antonio, TX 78229-3931
Mailing address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200039419 | Other | RAILROAD MEDICARE | |
| 359244601 | Medicaid | TX | |
| 359244602 | Other | TX | CSHCN |
| 205095102 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Quality
- 87.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107013 | MN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patients First Health Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400
9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
Organizations & group practices 2
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.
-
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Orthopaedic Surgery
-
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- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1003856576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7703 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293901",
"telephone_number": "210-450-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 FLOYD CURL DR FL 3",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293931",
"telephone_number": "210-450-9300",
"fax_number": "210-450-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSARDI",
"first_name": "DEAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2000156464",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "107013",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "Q8291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200039419",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359244601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "359244602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205095102",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.