Individual provider Active NPI

Lena A Georges, DPM

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1073532198
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3086 Issued in FL
Practice address
2605 W Swann Ave
Tampa, FL 33609-4039
Phone
(813) 876-7073
Fax
(813) 879-3737
NPI assigned
Jul 19, 2006
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO3086 FL
Podiatrist 213E00000X PO3086 FL Primary

Addresses

Primary practice location

2605 W Swann Ave
Tampa, FL 33609-4039

Mailing address

2605 W Swann Ave
Tampa, FL 33609-4039
Phone (813) 876-7073

Other identifiers 3

IdentifierTypeStateIssuer
65828OtherFLBLUE CROSS BLUE SHIELD
340436600MedicaidFL
P00085644OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000547 FL Practitioner - Podiatry 6103710819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kussel and AssociatesGroup PAC ID 5193891604, 6 clinicians
Karon R Locicero MD PAGroup PAC ID 3678593357, 18 clinicians

Practice addresses (Care Compare)

1302 W Swann Ave
Tampa, FL 33606-2531
Phone (813) 250-3668

2605 W Swann Ave
Suite 600
Tampa, FL 33609-4044
Phone (813) 876-7073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue89
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3086FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Karon R Locicero MD PA Podiatrist CurrentSince Jan 1, 2017 Accepting new patients
Fit Feet for Life, Inc. Podiatrist PastSince Apr 1, 2002 Accepting new patients
KG Health Partners, Inc Podiatrist PastSince Nov 5, 2012 Accepting new patients

Locations

888 S Parsons Ave
Brandon, FL 33511
Phone (813) 684-2273

2605 W Swann Ave
Ste 600
Tampa, FL 33609
Phone (813) 870-2528

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13000/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: lgeorges@khpi-fl.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1073532198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-876-7073",
            "fax_number": "813-879-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-876-7073",
            "fax_number": "813-879-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGES",
        "first_name": "LENA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3086",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65828",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340436600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00085644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.