Individual provider Active NPI

Angelina Joann Lombardi, M.D.

  • Allergy Physician
  • Greenville, SC
National Provider Identifier
1487645107
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
17136 Issued in SC
Practice address
1202 E Butler Rd
Greenville, SC 29607-5910
Phone
(864) 627-3800
Fax
(864) 672-2653
NPI assigned
Nov 2, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 17136 SC Primary

Addresses

Primary practice location

1202 E Butler Rd
Greenville, SC 29607-5910

Mailing address

331 Kellie Lane Dr
Spartanburg, SC 29301-3510
Phone (864) 542-8900

Other identifiers 1

IdentifierTypeStateIssuer
171361MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040520000954 SC Practitioner - Allergy/Immunology 5496746216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17136SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allergic Disease and Asthma Center PA Allergy CurrentSince Jan 20, 2016 Accepting new patients

Locations

1202 E Butler Rd
Greenville, SC 29607
Phone (864) 627-3800

2 Butternut Dr
Greenville, SC 29605
Phone (864) 232-0871

3020 Reidville Rd
Spartanburg, SC 29301
Phone (864) 478-6572

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, 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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487645107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 KELLIE LANE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013510",
            "telephone_number": "864-542-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075910",
            "telephone_number": "864-627-3800",
            "fax_number": "864-672-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "ANGELINA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": "17136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171361",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.