Individual provider Active NPI

Lawrence E Mason Jr., MD

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1093742553
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40687 Issued in KY
Practice address
4000 Kresge Way
Louisville, KY 40207-4605
Phone
(502) 897-8121
NPI assigned
Jun 28, 2006
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40687 KY Primary

Addresses

Primary practice location

4000 Kresge Way
Louisville, KY 40207-4605

Mailing address

702 Executive Park
Louisville, KY 40207-4207

Other identifiers 2

IdentifierTypeStateIssuer
64117567MedicaidKY
P00391139OtherGAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070627000157 KY Practitioner - Diagnostic Radiology 3577576123 Reassigns benefits to 2 organizations
I20230808001221 OH Practitioner - Diagnostic Radiology 3577576123 Reassigns benefits to 3 organizations
I20230929002196 FL Practitioner - Diagnostic Radiology 3577576123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Nicholasville Road MRI, LLCGroup PAC ID 5395718670, 23 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
CT at MidtownGroup PAC ID 9335045681, 34 clinicians
Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

2463 Nicholasville Rd
Lexington, KY 40503-3158
Phone (859) 276-1022

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4850 Red Bank Expressway
At Redbank /2ND FL
Cincinnati, OH 45227-1545
Phone (877) 729-6636

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

568 Centre View Blvd
Crestview Hills, KY 41017-3425
Phone (859) 331-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55 of 100Reported as group
Quality
10
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
19.04 of 100Reported as group
Quality
4.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40687KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Sep 25, 2023 Accepting new patients
Proscan Womens Imaging at Redbank Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Western Hills Open MRI, LLC Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Nchmd, Inc CurrentSince Oct 1, 2024 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Proscan Imaging of Troy, LLC Diagnostic Radiology CurrentSince Mar 4, 2024 Accepting new patients
Dublin Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Stadium Open MRI, LLC Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Proscan Open MRI North, LTD. Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Proscan Radiology Northern Kentucky, LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Proscan Imaging of Greenwood, LLC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Cincinnati Imaging Leasing Company, LTD. Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
CT at Midtown Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Proscan Imaging of Pickerington, LLC Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Nicholasville Road MRI, LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Dublin Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Proscan Womens Imaging at Redbank LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
Proscan Imaging of Jeffersonville, LLC Diagnostic Radiology CurrentSince Nov 20, 2023 Accepting new patients
Proscan Open MRI East, LTD. Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Proscan Imaging Gahanna, LLC Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Oct 1, 2024 Accepting new patients
Proscan Tylersville, LLC Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Proscan Imaging of Louisville LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology Past Accepting new patients
Radiology Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

801 Vanderbilt Beach Rd
Naples, FL 34108
Phone (239) 594-7636

568 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 331-5300

2463 Nicholasville Rd
Lexington, KY 40503
Phone (800) 642-6805

11594 Springfield Pike
#26
Cincinnati, OH 45246
Phone (513) 772-7750

4850 Red Bank Rd
Fl 2
Cincinnati, OH 45227
Phone (877) 729-6636

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • Freedom Health HMO Network

Organizations & group practices 30

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.

View all 30

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1093742553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-897-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "40687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64117567",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00391139",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.