Individual provider Active NPI

Michael L Lombardo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, LA
National Provider Identifier
1124016233
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PD107R Issued in LA
Practice address
212 Pecan Park Ave # a
Alexandria, LA 71303-3308
Phone
(318) 445-9259
Fax
(318) 445-9921
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PD107R LA Primary

Addresses

Primary practice location

212 Pecan Park Ave # a
Alexandria, LA 71303-3308

Mailing address

212 Pecan Park Ave # a
Alexandria, LA 71303-3308
Phone (318) 445-9259

Other identifiers 1

IdentifierTypeStateIssuer
1904929MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000321 LA Practitioner - Podiatry 7911896154 Practice locations: Alexandria, LA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Pecan Park Ave
Suite a
Alexandria, LA 71303-3308

212 Pecan Park Ave
Suite a
Alexandria, LA 71303-3364
Phone (318) 445-9259

Hospital & facility affiliations

  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121
Removal of skin lesions24
Removal of nail tissue312
Removal or shaving of skin growth136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD107RLAMDFoot & Ankle Surgery Podiatrist

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1124016233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PECAN PARK AVE # A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-445-9259",
            "fax_number": "318-445-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PECAN PARK AVE # A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033308",
            "telephone_number": "318-445-9259",
            "fax_number": "318-445-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "PD107R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.