NPIMap

Individual provider Active NPI

Lauren Irizarry

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1518301571
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018-01295 Issued in NC
Practice address
10208 Cerny St Ste 210
Raleigh, NC 27617-7885
Phone
(919) 484-8345
NPI assigned
Apr 22, 2013
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 2018-01295 NC Primary

Addresses

Primary practice location

10208 Cerny St Ste 210
Raleigh, NC 27617-7885

Mailing address

10208 Cerny St Ste 210
Raleigh, NC 27617-7885
Phone (919) 484-8345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181011001836 NC Practitioner - Family Practice 6709172463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

10208 Cerny St
Suite 210
Raleigh, NC 27617-7885
Phone (919) 283-4901

10211 Alm St
Raleigh, NC 27617-8221

10441 Moncreiffe Rd
Suite 101
Raleigh, NC 27617-7810
Phone (919) 484-8345

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

7200 Creedmoor Rd
Suite 208
Raleigh, NC 27613-1711
Phone (919) 327-1650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-01295NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affliated Physicians, Inc Family Medicine CurrentSince Oct 8, 2018 Accepting new patients
Duke University Affiliated Physiciains, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Oct 8, 2018 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
UCLA Family Medicine Residency Program Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

10208 Cerny St
Ste 210
Raleigh, NC 27617
Phone (919) 457-0340

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

10441 Moncreiffe Rd
#101
Raleigh, NC 27617
Phone (800) 266-3853

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: lirizarry411154@direct.medicine.duke.edu

Organizations & group practices 9

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.

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1518301571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 CERNY ST STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177885",
            "telephone_number": "919-484-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 CERNY ST STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177885",
            "telephone_number": "919-484-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-01295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.