NPIMap

Individual provider Active NPI

Wolfgang Erich Lohrmann, MD

  • Nephrology Physician
  • Statesville, NC
National Provider Identifier
1225059017
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
96-00617 Issued in NC
Practice address
2603 Davie Ave
Statesville, NC 28625-8256
Phone
(704) 873-6515
Fax
(704) 873-6508
NPI assigned
Jul 21, 2006
Last updated
Apr 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 96-00617 NC Primary

Addresses

Primary practice location

2603 Davie Ave
Statesville, NC 28625-8256

Mailing address

2603 Davie Ave
Statesville, NC 28625-8256
Phone (704) 873-6515

Other identifiers 1

IdentifierTypeStateIssuer
8952688MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100216000437 NC Practitioner - Nephrology 9537188479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care PCGroup PAC ID 3274552112, 2 clinicians

Practice addresses (Care Compare)

115 Westbrook LN
Statesville, NC 28625-2349
Phone (704) 881-0336

164 Professional Park Dr
Mooresville, NC 28117-5537
Phone (704) 799-1860

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000

175 Commerce Dr
Taylorsville, NC 28681-6527
Phone (828) 632-3547

190 Interstate Dr
Mocksville, NC 27028-4195
Phone (336) 753-1210

1917 W Park Dr
A
North Wilkesboro, NC 28659-3564
Phone (336) 667-3762

2603 Davie Ave
Statesville, NC 28625-8256
Phone (704) 873-6515

557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5611

627 Signal Hill Dr Ext
Statesville, NC 28625-4353
Phone (704) 872-0148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00617NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care, P.C. Nephrology CurrentSince May 25, 1996 Accepting new patients

Locations

2603 Davie Ave
Statesville, NC 28625
Phone (704) 873-6515

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1225059017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258256",
            "telephone_number": "704-873-6515",
            "fax_number": "704-873-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258256",
            "telephone_number": "704-873-6515",
            "fax_number": "704-873-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHRMANN",
        "first_name": "WOLFGANG",
        "middle_name": "ERICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "96-00617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952688",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.