Individual provider Active NPI

Carl Lauryssen, M.D.

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1568410629
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C50914 Issued in CA
Practice address
8201 Beverly Blvd
Suite # 405
Los Angeles, CA 90048-4505
Phone
(323) 272-4678
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C50914 CA Primary

Addresses

Primary practice location

8201 Beverly Blvd
Suite # 405
Los Angeles, CA 90048-4505

Mailing address

8201 Beverly Blvd
Suite # 405
Los Angeles, CA 90048-4505
Phone (323) 272-4678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150409001889 TX Practitioner - Neurosurgery 6901866888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. David'S Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

205 W Windcrest St
Suite 230
Fredericksburg, TX 78624-4478
Phone (512) 730-0000

2217 Park Bend Dr
Suite 400
Austin, TX 78758-5674
Phone (512) 306-1323

2300 Round Rock Ave
Suite 201
Round Rock, TX 78681-4026
Phone (512) 341-6612

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-1000

4810 Gattis School Rd
Suite 100
Hutto, TX 78634-2037
Phone (512) 730-0000

505 Saint Davids Loop
Suite 315
Leander, TX 78641-5225
Phone (512) 730-0000

7200 Wyoming Springs Dr
Suite 1550
Round Rock, TX 78681-4303
Phone (512) 730-0000

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion169
Laminectomy or laminotomy (partial removal of spine bones)70

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Ortho, Neuro and Rehab, PLLC CurrentSince Jul 25, 2017 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Carl Lauryssen MD Prof Corp. Neurological Surgery PastSince Jul 3, 2003 Accepting new patients
Neurotexas, PLLC Neurological Surgery Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

7200 Wyoming Springs Dr
Ste 1400
Round Rock, TX 78681
Phone (512) 244-2263

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

7200 Wyoming Springs Dr
Ste 1550
Round Rock, TX 78681
Phone (512) 726-0599

Interoperability endpoints

  • Direct secure messaging: 305-carl-lauryssen@direct.leadingreach.com
  • Direct secure messaging: 7572-lauryssen-carl@direct.leadingreach.com
  • Direct secure messaging: carl.lauryssen@hca8.eclinicaldirectplus.com

Organizations & group practices 4

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 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1568410629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 BEVERLY BLVD",
            "address_2": "SUITE # 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484505",
            "telephone_number": "323-272-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 BEVERLY BLVD",
            "address_2": "SUITE # 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484505",
            "telephone_number": "323-272-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURYSSEN",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C50914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.