Lori L Greenwald, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

030092 Issued in CT

Practice address

1 Barnard LN
Suite 201
Bloomfield, CT 06002-2413

Phone

(860) 761-6666

Fax

(860) 761-2502

NPI assigned

Jun 23, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Vascular Surgery

Education

R Franklin University of Med & Sci/Chicago Medical School, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lori L. Greenwald, MD, PC

  dba Vanishing Veins

  • Specialist
  • Bloomfield, CT
  • NPI 1801079371
  Medicare reassignment NPD
• Med-Gem LLC

  dba Lori L Greenwald MD

  • Vascular Surgery Physician
  • Bloomfield, CT
  • NPI 1932767050
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1073549978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNARD LN",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022413",
            "telephone_number": "860-761-6666",
            "fax_number": "860-761-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNARD LN",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022413",
            "telephone_number": "860-761-6666",
            "fax_number": "860-761-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "030092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V3352",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE FAMILY PLAN",
            "identifier": "001300920-03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "010030092CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0331765004",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "707767",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAS612",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3224455",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Hartford Nephrology, LLC
• Greater Hartford Ophthalmology LLC
• Gregory Malcom Green Sr., LPC
• Robert Allen Green, MD
• Maggie Jean Greene, ED.M., LPC, NCC
• Marilyn Gross, PT
• Layth Haddad, MA,CCC-SLP
• Jawad Haider, M.D.
• Christine Marie Hanna, MD
• Joyce Harmon, APRN

• Specialist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.