Simon A. Lovasco, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46923 Issued in KY

Practice address

5100 Peace Way
Taylor Mill, KY 41015-3506

Phone

(859) 491-2855

Fax

(859) 655-4395

NPI assigned

Jun 25, 2012

Sex

Male

Sole proprietor

Yes

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.

• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  Family Medicine, KY

  Medicare reassignment NPD
• Summit Medical Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1043188378
  NPD

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slovasco166838@direct-prd.stelizabeth.com

• Dr. Simon-Alexandre Lovasco Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2022.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1083978019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-491-2855",
            "fax_number": "859-655-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 PEACE WAY",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410153506",
            "telephone_number": "859-491-2855",
            "fax_number": "859-655-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVASCO",
        "first_name": "SIMON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "46923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100307620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMON-ALEXANDRE",
            "last_name": "LOVASCO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philip Andrew Hartman, M.D.
• Kyla Henderson
• Eve Kavanaugh, RN
• Kelly Moore Meador, DMD PLLC
• Alissa Ray Lenz-Laporta, DO
• Mark Edward Middendorf, MD
• Kelly Suzann Moore Meador, DMD
• Dianne Petrehn Moser, RPH
• Carlie Ann Norris, MSW, LCSW
• Megan Oliver

• All providers in Taylor Mill, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.