Individual provider Active NPI

Juan Antonio Lora, M.D.

  • Gastroenterology Physician
  • Delmont, PA
National Provider Identifier
1497868509
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD045085L Issued in PA
Practice address
6521 Route 22
Delmont, PA 15626-2402
Phone
(724) 836-5500
Fax
(724) 836-3286
NPI assigned
Aug 16, 2006
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD045085L PA Primary

Addresses

Primary practice location

6521 Route 22
Delmont, PA 15626-2402

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060

Other identifiers 2

IdentifierTypeStateIssuer
01622471MedicaidPA
0016224710002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060209000175 PA Practitioner - Gastroenterology 9133134349 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients

Locations

6521 State Route 22
Delmont, PA 15626
Phone (724) 468-8764

530 South St
Ste G20
Greensburg, PA 15601
Phone (724) 832-9190

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

905 Spruce St
Ste 201
North Huntingdon, PA 15642
Phone (724) 864-1115

Interoperability endpoints

  • Direct secure messaging: jlora@direct.excelahealth.org

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1497868509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 ROUTE 22",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156262402",
            "telephone_number": "724-836-5500",
            "fax_number": "724-836-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD045085L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01622471",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016224710002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmont, PA

Sources for this page

Verify at the official NPI Registry.