Individual provider Active NPI

Lori S. Whitley, MD

  • Dermatology Physician
  • Los Alamos, NM
National Provider Identifier
1023054913
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD2006-0151 Issued in NM
Practice address
3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Phone
(505) 662-4351
Fax
(505) 662-2932
NPI assigned
Jun 21, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD2006-0151 NM Primary

Addresses

Primary practice location

3917 West Rd
Suite 150
Los Alamos, NM 87544-2275

Mailing address

3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Phone (505) 662-4351

Other identifiers 1

IdentifierTypeStateIssuer
00636371MedicaidNM

Other names 1

  • Lori K. Seefeldt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20060810000038 NM Practitioner - Dermatology 1759384845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Partners of Northern New MexicoGroup PAC ID 5496026270, 5 clinicians

Practice addresses (Care Compare)

1651 Galisteo St
Suite 5
Santa Fe, NM 87505-4752
Phone (505) 983-0286

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1877
Removal or shaving of skin growth1-10
Skin biopsy357

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Partners of Northern New Mexico Dermatology CurrentSince Nov 21, 2024 Accepting new patients
Los Alamos Medical Care Clinic LTD Dermatology CurrentSince Aug 28, 2006 Accepting new patients
Dermatology & Skin Cancer Center of NM PC Dermatology PastSince Nov 21, 2024 Accepting new patients

Locations

3917 West Rd
Ste 150
Los Alamos, NM 87544
Phone (505) 662-4351

1651 Galisteo St
Ste 5
Santa Fe, NM 87505
Phone (505) 243-7546

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/547b0eb5-cfa9-4b3c-9b40-22fe9b0420af/

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1023054913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "LORI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2006-0151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00636371",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "SEEFELDT",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.