Active NPI
Brian Douglas Lawenda, M.D.
- Radiation Oncology Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME167833
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4738395 | Other | WA | CIGNA |
| 1104896794 | Medicaid | WA | |
| 1457283 | Other | NV | GHI |
| 01371595 | Other | NV | AMERIGROUP |
| 122055900 | Medicaid | FL | |
| 7839863 | Other | NV | AETNA |
| P01650856 | Other | WA | RR MEDICARE |
| 7839863 | Other | WA | AETNA |
| P00894440 | Other | RAILROAD MEDICARE | |
| 1104896794 | Medicaid | NV | |
| 500708662 | Medicaid | OR | |
| 518641 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Sarasota Memorial Hospital - Venice
- Lourdes Medical Center
- HCA Florida Fawcett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.72 of 100
- Quality
- 81.71
- Improvement activities
- 40
- Cost
- 88.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.73 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A87177 | CA | MD | Radiation Oncology Physician |
| ME167833 | FL | MD | Radiation Oncology Physician |
| 13433 | NV | MD | Radiation Oncology Physician |
| MD60622589 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Radiation Oncology, LLC | Radiation Oncology | Current | Accepting new patients |
| Precision Healthcare Specialists, LLC | Radiation Oncology | Current | 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.
-
- Radiation Oncology Physician
- Port Charlotte, FL
- NPI 1841753969
-
- Otolaryngology Physician
- Fort Myers, FL
- NPI 1457050106
Radiation Oncology
-
- Radiation Oncology Physician
- Kennewick, WA
- NPI 1164810545
-
- Radiation Oncology Physician
- Kennewick, WA
- NPI 1558638163
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
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": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME167833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4738395",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104896794",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1457283",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01371595",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122055900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"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",
"identifier": "7839863",
"state": "WA"
},
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.