Active NPI
Larry Horesh, M.D.
- Vascular & Interventional Radiology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 057481
- Practice address
- 4750 Waters Ave
Suite 500
Savannah, GA 31404-6200 - Phone
- (912) 352-8346
- Fax
- (912) 355-1414
- NPI assigned
- Mar 2, 2006
- Last updated
- Jan 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 057481 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 057481 | GA | Primary |
Addresses
Primary practice location
4750 Waters Ave
Suite 500
Savannah, GA 31404-6200
Mailing address
PO Box 116336
Atlanta, GA 30368-6336
Phone (912) 352-8346
Other practice location 1
455 S Main St Ste 205
Hinesville, GA 31313-4354
Phone (912) 629-7814
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G57481 | Medicaid | SC | |
| 308543732D | Medicaid | GA | |
| 3852310 | Medicaid | TN | |
| 7124808 | Other | GA | AETNA PPO PROVIDER ID |
| 308543732A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Yale University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 S Main St
Suite 205
Hinesville, GA 31313-4354
Phone (912) 352-8346
7208 Hodgson Memorial Dr
Suite a
Savannah, GA 31406-2512
Phone (912) 629-7800
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- St Joseph's Hospital - Savannah
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.11 of 100
- Quality
- 51.32
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 79.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 12 |
| Leg revascularization (restoring blood flow) | 57 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Vascular Institute, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Atlantic Radiology Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Jackson Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
455 S Main St
Ste 205
Hinesville, GA 31313
Phone (912) 348-9495
166 Memorial Dr
Jesup, GA 31545
Phone (912) 427-2111
4750 Waters Ave
Ste 500
Savannah, GA 31404
Phone (912) 350-5961
7208 Hodgson Memorial Dr
Ste A
Savannah, GA 31406
Phone (912) 351-4555
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- larry.horesh.p1@direct.savannahvascular.nextgenshare.com
- larry.horesh.p2@direct.savannahvascular.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Savannah, GA
- NPI 1184873390
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1033136080
-
dba Bolivar ER
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
-
dba West Tennessee Healthcare Bolivar Hospital
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- General Practice Physician
- Jackson, TN
- NPI 1467493916
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1154398709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303686336",
"telephone_number": "912-352-8346",
"fax_number": "912-352-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 WATERS AVE",
"address_2": "SUITE 500",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046200",
"telephone_number": "912-352-8346",
"fax_number": "912-355-1414"
}
],
"practiceLocations": [
{
"address_1": "455 S Main St Ste 205",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313134354",
"country_code": "US",
"telephone_number": "912-629-7814",
"fax_number": "912-355-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORESH",
"first_name": "LARRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "057481",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "057481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G57481",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308543732D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3852310",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO PROVIDER ID",
"identifier": "7124808",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308543732A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.