Individual provider Active NPI

Lauren Elizabeth Doughty-McDonald, M.D.

  • Specialist
  • Cedar Rapids, IA
National Provider Identifier
1114119229
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40428 Issued in IA
Practice address
1815 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5417
Phone
(319) 363-0474
Fax
(319) 363-2170
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40428 IA Primary

Addresses

Primary practice location

1815 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5417

Mailing address

1815 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Other identifiers 1

IdentifierTypeStateIssuer
1962610725MedicaidIA

Other names 1

  • Dr. Lauren Elizabeth Doughty Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20121026000047 IA Practitioner - Dermatology 1951476258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic of Iowa PCGroup PAC ID 9436143542, 10 clinicians

Practice addresses (Care Compare)

1815 1St Ave SE
200 Dermatology Clinic of Iowa
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
94.02
Promoting interoperability
98
Improvement activities
40
Cost
81.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions516
Removal or shaving of skin growth1-10
Skin biopsy113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40428IAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Clinic of Iowa PC Specialist CurrentSince Sep 1, 2012 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients
University Dermatology, Inc. PastSince Jan 1, 2007 Accepting new patients

Locations

1815 1st Ave SE
Ste 200
Cedar Rapids, IA 52402
Phone (319) 363-0474

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1114119229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY-MCDONALD",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "40428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962610725",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DOUGHTY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.