NPIMap

Individual provider Active NPI

Jennifer Ashley Lazor, D.O.

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1346515871
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.011289 Issued in OH
Practice address
1426 W Washington Blvd
Chicago, IL 60607-1821
Phone
(312) 829-1424
Fax
(312) 850-8431
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.136935 IL
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 34.011289 OH Primary

Addresses

Primary practice location

1426 W Washington Blvd
Chicago, IL 60607-1821

Mailing address

1426 W. Washington Blvd.
Chicago, IL 60607

Other identifiers 1

IdentifierTypeStateIssuer
0112347MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208000314 OH Practitioner - NephrologyPractitioner - Internal Medicine 6901128636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CDC Physicians Organization, Inc.Group PAC ID 8426140187, 9 clinicians

Practice addresses (Care Compare)

21245 Lorain Rd
Suite 206
Fairview Park, OH 44126-2140
Phone (440) 331-4294

Hospital & facility affiliations

  • Concerto Ohio Dialysis facility, South Euclid, OH, CCN 362897
  • CDC Home Care Dialysis facility, Euclid, OH, CCN 362578
  • DaVita Shaker Square Dialysis Dialysis facility, Cleveland, OH, CCN 362560
  • Center for Dialysis Care, Shaker Dialysis facility, Shaker Heights, OH, CCN 362553
  • DaVita Parma Heights Dialysis Dialysis facility, Parma Heights, OH, CCN 362704
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
73.98
Promoting interoperability
100
Improvement activities
40
Cost
69.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.136935ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Nov 17, 2014 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jan 1, 2018 Accepting new patients
CDC Physicians Organization, Inc. Nephrology CurrentSince Aug 1, 2017 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

21245 Lorain Rd
Ste 206
Fairview Park, OH 44126
Phone (440) 331-4294

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

18720 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 295-7003

4110 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6552

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: jlazor38126@ehrdirect.uhhospitals.org
  • Direct secure messaging: jlazor484082@direct.ccf.org

Organizations & group practices 4

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 8

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": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1346515871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W. WASHINGTON BLVD.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071821",
            "telephone_number": "312-829-1424",
            "fax_number": "312-850-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZOR",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.136935",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.011289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.