Ivana Lazich, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

261159 Issued in MA

Practice address

6 Essex Center Dr
Suite 306
Peabody, MA 01960-2904

Phone

(978) 531-0677

Fax

(978) 531-5676

NPI assigned

Aug 19, 2008

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nephrology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renin Associates PCGroup PAC ID 5597822882, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Peabody Dialysis Center Dialysis facility, Peabody, MA, CCN 222546
• FMC North Shore Regional Dialysis Center Dialysis facility, Beverly, MA, CCN 222550
• North Shore Medical Center - Hospital, Salem, MA, CCN 220035
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
• Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

88.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lazich.ivana.renin@direct.partners.masshiway.net

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.

• Renin Associates, P.C.

  • Nephrology Physician
  • Peabody, MA
  • NPI 1730216268
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Massachusetts, Inc.

  dba Bma Peabody

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Peabody, MA
  • NPI 1063421774

  Dialysis facility

  Care Compare affiliation Name & address match
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  Care Compare affiliation
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1215184569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 306",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-531-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 306",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-531-0677",
            "fax_number": "978-531-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZICH",
        "first_name": "IVANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "261159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETS LICENSE NUMBER",
            "identifier": "261159",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Lara
• Haytam Laroussi
• Judy H Larson, NP
• Tara Cristelle Lascola, MMP
• Caroline C. Lawler, M.D.
• Veronica Margaret Lazzara, PMHNP
• Andrew H Leader-Cramer, M.D.
• Susan B Leader, O.D.
• Leah Leavitt, LCSW, MSW
• Travis James Ledoyt, DPT

• Nephrology Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.

Verify at the official NPI Registry.