Active NPI
Kenneth J Laurora, MD
- Internal Medicine Physician
- Livingston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L6237
- Practice address
- 300 Bypass LN
Suite 208
Livingston, TX 77351-8413 - Phone
- (936) 327-1020
- Fax
- (936) 327-1022
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L6237 | TX | Primary |
Addresses
Primary practice location
300 Bypass LN
Suite 208
Livingston, TX 77351-8413
Mailing address
300 Bypass LN
Suite 208
Livingston, TX 77351-8413
Phone (936) 327-1020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158661202 | Medicaid | TX | |
| 296647502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- Rutgers New Jersey Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
300 Bypass LN
Suite 208
Livingston, TX 77351-8532
Phone (936) 327-1020
Hospital & facility affiliations
- A Pineywoods Home Health Care Inc
- Gentiva
- CHI St Lukes Health Memorial Livingston
- Pine Ridge Health Care LLP
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6237 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth J Laurora MD PA | Internal Medicine | Current | Accepting new patients |
Locations
400 Bypass Ln
Ste 111
Livingston, TX 77352
Phone (936) 327-0199
300 Bypass Ln
Ste 208
Livingston, TX 77352
Phone (936) 327-1020
Interoperability endpoints
- admin@kennethjlauroramdpa.e-mdsdirect.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Livingston, TX
- NPI 1558670901
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lufkin, TX
- NPI 1174638852
-
dba Gentiva
- Community Based Hospice Care Agency
- Livingston, TX
- NPI 1407047590
-
dba Pine Ridge Health Care
- Skilled Nursing Facility
- Livingston, TX
- NPI 1053316331
Nursing home
-
dba CHI St. Luke's Heath Memorial Livingston
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1184606378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BYPASS LN",
"address_2": "SUITE 208",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518413",
"telephone_number": "936-327-1020",
"fax_number": "936-327-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BYPASS LN",
"address_2": "SUITE 208",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518413",
"telephone_number": "936-327-1020",
"fax_number": "936-327-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURORA",
"first_name": "KENNETH",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L6237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158661202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296647502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.