Individual provider Active NPI

Frank C Lavora, DPM

  • Podiatrist
  • Greenfield, WI
National Provider Identifier
1316025893
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
663-025 Issued in WI
Practice address
4448 W Loomis Rd
Ste 204
Greenfield, WI 53220-4851
Phone
(414) 281-1688
Fax
(414) 281-8170
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 663-025 WI Primary

Addresses

Primary practice location

4448 W Loomis Rd
Ste 204
Greenfield, WI 53220-4851

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other identifiers 1

IdentifierTypeStateIssuer
43215700MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address flavora23350@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001424 WI Practitioner - Podiatry 3577550094 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
663WIMDMental Health Counselor
663-025WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Health Care Metro, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Jan 1, 1999 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jan 1, 1999 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Oct 23, 2013 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Aurora Advanced Healthcare Inc PastSince Jun 1, 2015 Accepting new patients
Lakeshore Medical Clinic LLC PastSince Jul 24, 2022 Accepting new patients

Locations

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2801 W Kinnickinnic River Pkwy
Ste 250
Milwaukee, WI 53215
Phone (414) 649-3354

4448 W Loomis Rd
Ste 204
Milwaukee, WI 53220
Phone (414) 281-1688

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

2000 E Layton Ave
Ste 140
St Francis, WI 53235
Phone (414) 769-8009

8320 W Bluemound Rd
Ste 125
Wauwatosa, WI 53213
Phone (414) 302-3800

Interoperability endpoints

  • Direct secure messaging: flavora23350@direct.myadvocateaurora.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1316025893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 W LOOMIS RD",
            "address_2": "STE 204",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204851",
            "telephone_number": "414-281-1688",
            "fax_number": "414-281-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVORA",
        "first_name": "FRANK",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "663-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43215700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flavora23350@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4448 W Loomis Rd",
            "address_2": "Ste 204",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532204851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4448 W Loomis Rd",
            "address_2": "Ste 204",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532204851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.