Individual provider Active NPI

Lorena Garza Garcia, MD

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
National Provider Identifier
1568803591
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD2019-0661 Issued in NM
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(312) 996-7000
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125063853 IL
Student in an Organized Health Care Education/Training Program 390200000X 125063853 IL
Student in an Organized Health Care Education/Training Program 390200000X 303435 LA
Vascular & Interventional Radiology Physician 2085R0204X MD2019-0661 NM Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

1430 Tulane Ave # 8654
New Orleans, LA 70112-2699
Phone (504) 988-2651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20190821004154 NM Practitioner - Diagnostic Radiology 2567790066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging LLCGroup PAC ID 2860451648, 15 clinicians

Practice addresses (Care Compare)

2400 Unser Blvd SE
28200 High Resolution Rio Rancho at Rust
Rio Rancho, NM 87124-4741
Phone (505) 998-7719

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5888
Phone (505) 332-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.28 of 100Reported as group
Quality
90
Improvement activities
40
Cost
77.05

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2019-0661NMMDVascular & Interventional Radiology Physician
125063853ILMDStudent in an Organized Health Care Education/Training Program
303435LAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging LLC CurrentSince Aug 1, 2019 Accepting new patients
Radiology Associates of Albuquerque, PA CurrentSince Aug 1, 2019 Accepting new patients
Advanced Imaging LLC Past Accepting new patients

Locations

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone (505) 462-7333

4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

2400 Unser Blvd SE
Ste 28200
Rio Rancho, NM 87124
Phone (505) 370-9600

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

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 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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1568803591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8654",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122699",
            "telephone_number": "504-988-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA GARCIA",
        "first_name": "LORENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125063853",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125063853",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "303435",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2019-0661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.