Individual provider Active NPI

Lana Ann Massaro, M.D.

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1548374663
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME120852 Issued in FL
Practice address
755 Rinehart Rd Ste 200
Lake Mary, FL 32746-4886
Phone
(407) 320-8100
Fax
(407) 320-8110
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 50091-20 WI
Family Medicine Physician 207Q00000X ME120852 FL Primary

Addresses

Primary practice location

755 Rinehart Rd Ste 200
Lake Mary, FL 32746-4886

Mailing address

755 Rinehart Rd Ste 200
Lake Mary, FL 32746-4886
Phone (407) 320-8100

Other practice location 1

755 Rinehart Rd
Suite 100
Lake Mary, FL 32746-4874
Phone (407) 333-1550

Other names 1

  • Dr. Lana A. Doxtater Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141014002441 FL Practitioner - Family Practice 8426155318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50091-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 2014 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

755 Rinehart Rd
Ste 200
Lake Mary, FL 32746
Phone (407) 320-8100

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Interoperability endpoints

  • Direct secure messaging: lmassaro24530@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1548374663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 RINEHART RD STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464886",
            "telephone_number": "407-320-8100",
            "fax_number": "407-320-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 RINEHART RD STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464886",
            "telephone_number": "407-320-8100",
            "fax_number": "407-320-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Rinehart Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464874",
            "country_code": "US",
            "telephone_number": "407-333-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "LANA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "50091-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME120852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "DOXTATER",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.