Individual provider Active NPI

Lori F Honeycutt, M.D.

  • Dermatology Physician
  • Cedar Park, TX
National Provider Identifier
1568469443
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L6429 Issued in TX
Practice address
1103 Cypress Creek Rd
Ste 100
Cedar Park, TX 78613-3925
Phone
(512) 257-7600
Fax
(512) 257-7604
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L6429 TX Primary

Addresses

Primary practice location

1103 Cypress Creek Rd
Ste 100
Cedar Park, TX 78613-3925

Mailing address

PO Box 2166
San Antonio, TX 78297-2166
Phone (512) 257-7600

Other identifiers 1

IdentifierTypeStateIssuer
0009KZOtherTXBCBS

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
I20040610000878 TX Practitioner - Dermatology 0345223319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1103 Cypress Creek Rd
Suite 100
Cedar Park, TX 78613-3925
Phone (512) 257-7600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions769
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dermatology & Medi - Spa, PA Dermatology CurrentSince Feb 1, 2004 Accepting new patients

Locations

1103 Cypress Creek Rd
Ste 100
Cedar Park, TX 78613
Phone (512) 257-7600

512 Victoria Ln
Ste 7
Harlingen, TX 78550
Phone (956) 423-1104

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1568469443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2166",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782972166",
            "telephone_number": "512-257-7600",
            "fax_number": "512-257-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133925",
            "telephone_number": "512-257-7600",
            "fax_number": "512-257-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEYCUTT",
        "first_name": "LORI",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L6429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009KZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.