Individual provider Active NPI

Lorelei D. McCloskey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
National Provider Identifier
1336429026
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
741 Issued in CO
Practice address
2373 Central Park Blvd Unit 201
Denver, CO 80238-2300
Phone
(303) 577-0110
Fax
(303) 577-0112
NPI assigned
Aug 25, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 741 CO Primary

Addresses

Primary practice location

2373 Central Park Blvd Unit 201
Denver, CO 80238-2300

Mailing address

2373 Central Park Blvd Unit 201
Denver, CO 80238-2300
Phone (303) 577-0110

Other practice location 1

714 10th St
Secaucus, NJ 07094-2921
Phone (551) 257-7038

Other names 1

  • Dr. Lorelei D Lam Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828002087 CO Practitioner - Podiatry 8224256557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1330 Sidney Ave
Sterling, CO 80751-2241
Phone (970) 522-4888

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue2558
Removal or shaving of skin growth1609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
741COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David Erik Ouderkirk DPM PC CurrentSince Jul 1, 2014 Accepting new patients
Preferred Podiatry Group PC CurrentSince Jun 1, 2024 Accepting new patients
David Erik Ouderkirk DPM PC Foot & Ankle Surgery CurrentSince Jul 1, 2014 Accepting new patients

Locations

2373 Central Park Blvd
Unit 201
Denver, CO 80238
Phone (303) 577-0110

3464 S Willow St
Ste 138
Denver, CO 80231

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 803-1664

1330 Sidney Ave
Sterling, CO 80751
Phone (970) 522-4888

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

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336429026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-577-0110",
            "fax_number": "303-577-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-577-0110",
            "fax_number": "303-577-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 10th St",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942921",
            "country_code": "US",
            "telephone_number": "551-257-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "LORELEI",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORELEI",
            "last_name": "LAM",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.