Individual provider Active NPI

Larisa Elaine Kimuri, M.D.

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1386787950
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-33260 Issued in KS
Practice address
1220 Biltmore Dr
Lawrence, KS 66049-4271
Phone
(785) 505-2626
Fax
(785) 505-5333
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 206018068 MO
Family Medicine Physician 207Q00000X 04-33260 KS Primary

Addresses

Primary practice location

1220 Biltmore Dr
Lawrence, KS 66049-4271

Mailing address

1220 Biltmore Dr
Lawrence, KS 66049-4271
Phone (785) 331-1700

Other identifiers 1

IdentifierTypeStateIssuer
200572220AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Larisa.kimuri@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000159 KS Practitioner - Family Practice 2264536481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1220 Biltmore Dr
Lawrence, KS 66049-1995
Phone (785) 505-2626

Hospital & facility affiliations

  • Visiting Nurses Association (Vna) Home health agency, Lawrence, KS, CCN 177034
  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-33260KSMDFamily Medicine Physician
206018068MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC CurrentSince Sep 1, 2021 Accepting new patients
Lawrence Physicians LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

1220 Biltmore Dr
Lawrence, KS 66049
Phone (785) 331-1700

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

3211 S Iowa St
Ste 100
Lawrence, KS 66046
Phone (785) 505-5475

Interoperability endpoints

  • Direct secure messaging: larisa.kimuri@khindirect.org
  • Direct secure messaging: larisa.kimuri@direct.lmh.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 2

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1386787950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BILTMORE DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494271",
            "telephone_number": "785-331-1700",
            "fax_number": "785-331-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BILTMORE DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494271",
            "telephone_number": "785-505-2626",
            "fax_number": "785-505-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMURI",
        "first_name": "LARISA",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "206018068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-33260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200572220A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Larisa.kimuri@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1220 Biltmore Dr",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660494271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.