Individual provider Active NPI

John P Lazoritz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1124446166
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400531 Issued in MI
Practice address
3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone
(586) 977-6497
NPI assigned
Apr 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 365 NE
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400531 MI Primary
Podiatrist 213E00000X 086664 IA

Addresses

Primary practice location

3500 15 Mile Rd
Sterling Heights, MI 48310-5353

Mailing address

3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-6497

Other practice location 1

7337 Dodge St
Omaha, NE 68114-3613
Phone (402) 391-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170613000099 IA Practitioner - Podiatry 3072815257 Reassigns benefits to 2 organizations
I20170613000232 NE Practitioner - Podiatry 3072815257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarinda Regional Health CenterGroup PAC ID 4587573993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Pender, NE 68047-4507
Phone (402) 385-3083

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Hospital & facility affiliations

  • Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
  • Pender Community Hospital Hospital, Pender, NE, CCN 281349

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue180
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
365NEMDFamily Medicine Physician
5901400531MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center CurrentSince Sep 1, 2017 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083

Interoperability endpoints

  • Direct secure messaging: john.lazoritz@1510.chartlogic.direct-ci.com

Organizations & group practices 2

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 2

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": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1124446166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105353",
            "telephone_number": "586-977-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105353",
            "telephone_number": "586-977-6497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7337 Dodge St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143613",
            "country_code": "US",
            "telephone_number": "402-391-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZORITZ",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-06",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "365",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400531",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "086664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.