Individual provider Active NPI

John Lomonaco, MD

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1336272772
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
CP659 Issued in NE
Practice address
17226 Mercury Dr Ste 200
Houston, TX 77058-2793
Phone
(713) 526-5550
Fax
(713) 526-5563
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X CP659 NE Primary

Addresses

Primary practice location

17226 Mercury Dr Ste 200
Houston, TX 77058-2793

Mailing address

17226 Mercury Dr Ste 200
Houston, TX 77058-2793
Phone (713) 526-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240307001698 TX Practitioner - Plastic and Reconstructive Surgery 0941646319
I20240514000570 NE Practitioner - Plastic and Reconstructive Surgery 0941646319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

2 W 42ND St
Suite 1100
Scottsbluff, NE 69361-4610
Phone (308) 635-3155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic CurrentSince Apr 15, 2024 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

2 W 42nd St
Ste 1100
Scottsbluff, NE 69361
Phone (308) 635-0600

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 2

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 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1336272772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17226 MERCURY DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582793",
            "telephone_number": "713-526-5550",
            "fax_number": "713-526-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17226 MERCURY DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582793",
            "telephone_number": "713-526-5550",
            "fax_number": "713-526-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NE",
            "license": "CP659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.