Individual provider Active NPI

Katherine Lursen, MD

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1487869244
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27126 Issued in AL
Practice address
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone
(251) 435-2806
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27126 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Cir
Mobile, AL 36607-3513

Mailing address

PO Box 9369
Mobile, AL 36691-0369

Other identifiers 4

IdentifierTypeStateIssuer
01875004OtherMSMEDICAID
511-06933OtherALBCBS
P00848243OtherALRAILROAD MEDICARE
120186MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100806000096 AL Practitioner - Diagnostic Radiology 5698808921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Coastal Radiology PCGroup PAC ID 7810914348, 24 clinicians

Practice addresses (Care Compare)

1815 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 460-0326

29487 State Hwy 181
Daphne, AL 36526-6581
Phone (251) 460-0326

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 460-0326

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 460-0326

845 Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 460-0326

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 460-0326

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Washington County Hospital Hospital, Chatom, AL, CCN 011300

Merit-based Incentive Payment System (MIPS)

Final score
97.02 of 100Reported as group
Quality
98.57
Improvement activities
40
Cost
92.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27126ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Coastal Radiology, PC CurrentSince Aug 1, 2010 Accepting new patients

Locations

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

Organizations & group practices 1

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 7

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1487869244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9369",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366910369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURSEN",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "27126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "01875004",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-06933",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00848243",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120186",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.