Individual provider Active NPI

Anna O Lavrova, MD

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1275169377
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V1524 Issued in TX
Practice address
21309 Foster Rd
Spring, TX 77388-4209
Phone
(281) 587-1700
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V1524 TX Primary

Addresses

Primary practice location

21309 Foster Rd
Spring, TX 77388-4209

Mailing address

21309 Foster Rd Ste 100
Spring, TX 77388-4209
Phone (281) 587-1700

Other practice location 1

11026 Highway 242
Conroe, TX 77385-4348
Phone (281) 587-1700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820001811 TX Practitioner - Internal Medicine 0244653103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ikp Family Medicine, P.a.Group PAC ID 4284672478, 7 clinicians

Practice addresses (Care Compare)

21309 Foster Rd
Suite 100
Spring, TX 77388-4209
Phone (281) 587-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V1524TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ikp Family Medicine, P.a. Family Medicine CurrentSince Aug 12, 2024 Accepting new patients
Ikp Family Medicine P.a. Family Medicine CurrentSince Aug 12, 2024 Accepting new patients
Airrosti Rehab Centers, LLC PastSince Jul 28, 2024 Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

17350 St Lukes Way
Ste 430
The Woodlands, TX 77384
Phone (281) 587-1700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alavrova400734@direct.stlukeshealth.org

Organizations & group practices 3

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 3

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1275169377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11026 Highway 242",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773854348",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVROVA",
        "first_name": "ANNA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.