Individual provider Active NPI

Lori Ann Hergan, M.D.

  • Urology Physician
  • Hemet, CA
National Provider Identifier
1093861569
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A86666 Issued in CA
Practice address
1225 E Latham Ave
Hemet, CA 92543-4423
Phone
(951) 929-2800
Fax
(951) 929-2800
NPI assigned
Jan 26, 2007
Last updated
Mar 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A86666 CA Primary

Addresses

Primary practice location

1225 E Latham Ave
Hemet, CA 92543-4423

Mailing address

1225 E Latham Ave
Hemet, CA 92543-4423
Phone (951) 929-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081014000114 CA Practitioner - Urology 9537237862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of Ny Upstate Medical University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Girdhari S Purohit MD IncGroup PAC ID 9830088517, 3 clinicians

Practice addresses (Care Compare)

1225 E Latham Ave
Suite B
Hemet, CA 92543-4423
Phone (909) 929-2800

Merit-based Incentive Payment System (MIPS)

Final score
96.83 of 100Reported as group
Quality
82.91
Improvement activities
40
Cost
78.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86666CAMDUrology Physician

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1093861569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434423",
            "telephone_number": "951-929-2800",
            "fax_number": "951-929-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434423",
            "telephone_number": "951-929-2800",
            "fax_number": "951-929-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGAN",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A86666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.