Yanira Isbet Lara, M.D.
Individual provider Active NPI Family Medicine Physician · Bushnell, FL
NPI 1306108022 · NPPES record last updated Feb 8, 2020
Key facts
- NPI
- 1306108022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME121533 (FL)
- Practice address
- 212 S Florida St
Bushnell, FL 33513-6703 - Phone
- (352) 793-2441
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lowell F. Clark MD PA
Practice addresses (Care Compare)
107 W Central Ave
Howey in the Hills, FL 34737-4302
Phone (352) 324-0504
Hospital & facility affiliations
- Classic Home Health Services
- Pinnacle Home Care of the Villages Inc
- Vitas Healthcare Corporation of Florida
- Uf Health Leesburg Hospital
- Chatham Glen Healthcare and Rehabilitation Center
- Avante at Mt Dora, Inc
- Lake Port Square Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141031001697 | FL | Practitioner - Family Practice | 3274754429 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121533 | FL | MD | Family Medicine Physician |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soni Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME121533 | FL | Yes |
Addresses
Primary practice location
212 S Florida St
Bushnell, FL 33513-6703
Mailing address
1559 Sherbrook Dr
Clermont, FL 34711-5330
Phone (352) 801-2654
Other practice location 1
2217 North Blvd W
Suite B
Davenport, FL 33837-8990
Phone (863) 588-4775
Other providers in Bushnell, FL
- Kaleidoscope Therapy Solutions Corp
- Karen Lord DC PA
- Miriam Kerr
- Elaine I Kinder
- Krishna S Kosaraju
- Lets Grow ABA
- Karen Lord
- Lowell F. Clark MD PA
- Lula Frazier
- Cary Mattos
All providers in Bushnell, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.