Individual provider Active NPI

Nicolas Llorens, MD

  • Gastroenterology Physician
  • Columbia, MO
National Provider Identifier
1174575294
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2002020515 Issued in MO
Practice address
210 Portland St
Suite 100
Columbia, MO 65201-6677
Phone
(573) 777-8818
Fax
(573) 777-8819
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2002020515 MO Primary

Addresses

Primary practice location

210 Portland St
Suite 100
Columbia, MO 65201-6677

Mailing address

210 Portland St
Suite 100
Columbia, MO 65201-6677
Phone (573) 777-8818

Other identifiers 1

IdentifierTypeStateIssuer
205940109MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100920000536 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 3375645096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Missouri, Columbia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates, LLCGroup PAC ID 9537166236, 30 clinicians

Practice addresses (Care Compare)

210 Portland St
Suite 100
Columbia, MO 65201-6677
Phone (573) 777-8818

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307
  • Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy169
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002020515MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General John J Pershing Memorial Hospital Association CurrentSince Jun 4, 2024 Accepting new patients
Columbia Endoscopy Center, LLC Current Accepting new patients
Gastrointestinal Associates, LLC Gastroenterology CurrentSince Sep 30, 2002 Accepting new patients
The Curators of the University of Missouri CurrentSince Jul 1, 2024 Accepting new patients
Boone Physician Services, LLC CurrentSince Jun 12, 2024 Accepting new patients
Curators of the University of Missouri CurrentSince Jul 1, 2024 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jun 4, 2024 Accepting new patients

Locations

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

208 Portland St
Columbia, MO 65201
Phone (573) 449-3500

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095

210 Portland St
Ste 100
Columbia, MO 65201
Phone (573) 777-8818

Interoperability endpoints

  • FHIR API: https://ff23a4b4-465d-44fa-a7d8-99a59a9660e5.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 7

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 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1174575294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PORTLAND ST",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016677",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PORTLAND ST",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016677",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLORENS",
        "first_name": "NICOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2002020515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205940109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.