NPIMap

Individual provider Active NPI

Lawrence Matthew Minardi

  • Specialist
  • Charleston, WV
National Provider Identifier
1174508774
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11596 Issued in WV
Practice address
500 Donnally St
BLDG B North
Charleston, WV 25301-1648
Phone
(304) 343-6219
Fax
(304) 343-1423
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11596 WV Primary

Addresses

Primary practice location

500 Donnally St
BLDG B North
Charleston, WV 25301-1648

Mailing address

500 Donnally St
Ste 1
Charleston, WV 25301-1600
Phone (304) 343-0331

Other identifiers 2

IdentifierTypeStateIssuer
0096789000MedicaidWV
MI9220052OtherWVMEDICARE GROUP NUMBER

Other names 1

  • Dr. Lawrence Matthew Minardi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000848 WV Practitioner - Ophthalmology 1850467101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Donnally St
Suite 1
Charleston, WV 25301-1600
Phone (304) 343-6219

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.19 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
70.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11596WVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Minardi Eye Center, Inc. CurrentSince Oct 1, 1988 Accepting new patients
Lawrence M Minardi Current Accepting new patients

Locations

500 Donnally St
Bldg B
Charleston, WV 25301
Phone (304) 343-3888

500 Donnally St
Ste 1
Charleston, WV 25301
Phone (304) 343-6219

500 Donnally St
Charleston, WV 25301
Phone (304) 340-2222

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 12

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1174508774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DONNALLY ST",
            "address_2": "STE 1",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011600",
            "telephone_number": "304-343-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DONNALLY ST",
            "address_2": "BLDG B NORTH",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011648",
            "telephone_number": "304-343-6219",
            "fax_number": "304-343-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARDI",
        "first_name": "LAWRENCE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "11596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096789000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "MI9220052",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "MINARDI",
            "middle_name": "MATTHEW",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.