Individual provider Active NPI

Lawrence P Gassner, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1558379461
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19150 Issued in AZ
Practice address
18404 N Tatum Blvd
Ste 205
Phoenix, AZ 85032-1509
Phone
(602) 971-5500
Fax
(602) 944-0504
NPI assigned
Aug 4, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19150 AZ Primary

Addresses

Primary practice location

18404 N Tatum Blvd
Ste 205
Phoenix, AZ 85032-1509

Mailing address

18404 N Tatum Blvd
Ste 205
Phoenix, AZ 85032-1509
Phone (602) 971-5500

Other identifiers 2

IdentifierTypeStateIssuer
110213982OtherRR MEDICARE ID
19150OtherAZLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100325000647 AZ Practitioner - Internal Medicine 4688668403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tatum Ridge Internal Medicine PLCGroup PAC ID 6901890821, 4 clinicians

Practice addresses (Care Compare)

18404 N Tatum Blvd
Suite 205
Phoenix, AZ 85032-1509
Phone (602) 971-5500

Merit-based Incentive Payment System (MIPS)

Final score
88.93 of 100Reported as group
Quality
95.04
Promoting interoperability
100
Improvement activities
40
Cost
68.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19150AZMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lawrence.gassner.1@14023.direct.athenahealth.com

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, 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1558379461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321509",
            "telephone_number": "602-971-5500",
            "fax_number": "602-944-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321509",
            "telephone_number": "602-971-5500",
            "fax_number": "602-944-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSNER",
        "first_name": "LAWRENCE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "19150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID",
            "identifier": "110213982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19150",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.