Individual provider Active NPI

Lorraine Annette Lindstrom Leifer, M.D.

  • Radiation Oncology Physician
  • Lees Summit, MO
National Provider Identifier
1093786808
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2022-02943 Issued in NC
Practice address
4881 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone
(913) 574-2350
Fax
(913) 574-2769
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X R3K00 MO
Radiation Oncology Physician 2085R0001X 04-22044 KS
Radiation Oncology Physician 2085R0001X 2022-02943 NC Primary

Addresses

Primary practice location

4881 NE Goodview Cir
Lees Summit, MO 64064-1996

Mailing address

PO Box 411851
Kansas City, MO 64141-1851

Other identifiers 4

IdentifierTypeStateIssuer
100116190EMedicaidKS
100116190DMedicaidKS
1093786808MedicaidMO
P01817348OtherKSRAILROAD MEDICARE

Other names 1

  • Lori A. Lindstrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230718004193 NC Practitioner - Radiation Oncology 7810954997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson County Hospital CorporationGroup PAC ID 8123938115, 231 clinicians

Practice addresses (Care Compare)

805 6TH Ave W
Hendersonville, NC 28739-4137
Phone (828) 696-1330

Hospital & facility affiliations

  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02943NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Jul 3, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jul 3, 2024 Accepting new patients
NHCS Physicians Inc CurrentSince May 6, 2023 Accepting new patients
Kansas City Cancer Center, LLC Radiation Oncology Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

805 6th Ave W
Ste 100
Hendersonville, NC 28739
Phone (828) 692-8045

805 6th Ave W
Hendersonville, NC 28739
Phone (828) 696-1330

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • Direct secure messaging: lleifer987743@direct.unc.nchie.net
  • Direct secure messaging: llindstromleifer71169@direct.kuha.org
  • Direct secure messaging: llindstrom289302@ahs.direct-ci.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 and National Provider Directory roles.

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1093786808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411851",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 NE GOODVIEW CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641996",
            "telephone_number": "913-574-2350",
            "fax_number": "913-574-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM LEIFER",
        "first_name": "LORRAINE",
        "middle_name": "ANNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "R3K00",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-22044",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2022-02943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116190E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116190D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093786808",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01817348",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LINDSTROM",
            "middle_name": "A.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.