Individual provider Active NPI

Jean Yves Laurore, MD

  • Pediatrics Physician
  • Sunrise, FL
National Provider Identifier
1053578856
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101243632 Issued in VA
Practice address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone
(800) 243-3839
Fax
(877) 780-4242
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101243632 VA Primary

Addresses

Primary practice location

1301 Concord Ter
Sunrise, FL 33323-2843

Mailing address

1010 W Kensington Cir
Fredericksburg, VA 22401-8003
Phone (347) 751-3641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080819000071 VA Practitioner - Pediatric Medicine 5991870495 Reassigns benefits to 2 organizations
I20091218000024 MD Practitioner - Pediatric Medicine 5991870495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centercare Family Practice LLCGroup PAC ID 1254691173, 2 clinicians
Pedsplus Urgent Care LLCGroup PAC ID 1355601949, 2 clinicians

Practice addresses (Care Compare)

15521 Real Estate Ave
King George, VA 22485-5327
Phone (540) 289-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101243632VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Oct 19, 2011 Accepting new patients
Centercare Family Practice, LLC CurrentSince Feb 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 19, 2011 Accepting new patients
Pedsplus Urgent Care, LLC CurrentSince Feb 17, 2018 Accepting new patients
Hospital Physician Services, LLLP Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

1300 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 289-2273

15521 Real Estate Ave
King George, VA 22485
Phone (540) 289-2273

15521 Real Estate Ave
Ste 200
King George, VA 22485
Phone (540) 663-3139

15521 Real Estate Ave
Fl 1
King George, VA 22485

4207 Germanna Hwy
Ste E
Locust Grove, VA 22508
Phone (540) 726-5659

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1053578856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W KENSINGTON CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018003",
            "telephone_number": "347-751-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "877-780-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURORE",
        "first_name": "JEAN",
        "middle_name": "YVES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101243632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.