Individual provider Active NPI

Brian Douglas Lawenda, M.D.

  • Radiation Oncology Physician
  • Venice, FL
National Provider Identifier
1104896794
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME167833 Issued in FL
Practice address
8026 S Tamiami Trail
Venice, FL 34293
Phone
(941) 220-6460
Fax
(941) 220-5284
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A87177 CA
Radiation Oncology Physician 2085R0001X 13433 NV
Radiation Oncology Physician 2085R0001X MD60622589 WA
Radiation Oncology Physician 2085R0001X ME167833 FL Primary

Addresses

Primary practice location

8026 S Tamiami Trail
Venice, FL 34293

Mailing address

3080 Harbor Blvd
Port Charlotte, FL 33952-6720
Phone (941) 883-2199

Other identifiers 12

IdentifierTypeStateIssuer
4738395OtherWACIGNA
1104896794MedicaidWA
1457283OtherNVGHI
01371595OtherNVAMERIGROUP
122055900MedicaidFL
7839863OtherNVAETNA
P01650856OtherWARR MEDICARE
7839863OtherWAAETNA
P00894440OtherRAILROAD MEDICARE
1104896794MedicaidNV
500708662MedicaidOR
518641MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160506001068 WA Practitioner - Radiation Oncology 7416091756 Reassigns benefits to 1 organization
I20240521000412 FL Practitioner - Radiation Oncology 7416091756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Radiation Oncology LLCGroup PAC ID 1658613096, 21 clinicians
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

3080 Harbor Blvd
Port Charlotte, FL 33952-6720
Phone (941) 883-2199

8026 S Tamiami TRL
Venice, FL 34293-5113
Phone (941) 220-6460

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
81.71
Improvement activities
40
Cost
88.22

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87177CAMDRadiation Oncology Physician
ME167833FLMDRadiation Oncology Physician
13433NVMDRadiation Oncology Physician
MD60622589WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Radiation Oncology, LLC Radiation Oncology CurrentSince Jun 3, 2024 Accepting new patients
Precision Healthcare Specialists, LLC Radiation Oncology CurrentSince Apr 1, 2026 Accepting new patients
Northwest Cancer Clinic, LLC Radiation Oncology Past Accepting new patients

Locations

909 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 217-8070

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111

3175 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 457-8172

8026 S Tamiami Trl
Venice, FL 34293
Phone (941) 220-6460

8026 S Tamiami Trl
Ste 7850
Venice, FL 34293

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1104896794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526720",
            "telephone_number": "941-883-2199",
            "fax_number": "941-979-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8026 S TAMIAMI TRAIL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34293",
            "telephone_number": "941-220-6460",
            "fax_number": "941-220-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWENDA",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A87177",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "13433",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD60622589",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
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            "license": "ME167833",
            "primary": true
        }
    ],
    "identifiers": [
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            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
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        {
            "code": "05",
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            "state": "WA"
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        {
            "code": "01",
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            "issuer": "GHI",
            "identifier": "1457283",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01371595",
            "state": "NV"
        },
        {
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            "issuer": null,
            "identifier": "122055900",
            "state": "FL"
        },
        {
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            "issuer": "AETNA",
            "identifier": "7839863",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01650856",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00894440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104896794",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500708662",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518641",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.