NPIMap

Individual provider Active NPI

Ivan Esteban Lamotta, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Columbia, SC
National Provider Identifier
1598803462
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
31672 Issued in SC
Practice address
1910 Blanding St
Columbia, SC 29201-3520
Phone
(803) 256-4107
Fax
(803) 253-6676
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 31672 SC Primary

Addresses

Primary practice location

1910 Blanding St
Columbia, SC 29201-3520

Mailing address

1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000519 SC Practitioner - Orthopedic Surgery 2466528617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Spinal fusion366
Laminectomy or laminotomy (partial removal of spine bones)59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31672SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Orthopaedics and Neurosurgery PA CurrentSince Aug 3, 2009 Accepting new patients
Midlands Orthopaedics and Neurosurgery, PA CurrentSince Aug 3, 2009 Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Orthopaedic Associates, PA Past Accepting new patients
Midlands Orthopaedics and Neurosurgery, PA Past Accepting new patients

Locations

1910 Blanding St
Columbia, SC 29201
Phone (803) 253-6721

1013 Lake Murray Blvd
Irmo, SC 29063
Phone (803) 732-5887

109 Park Place Ct
Lexington, SC 29072
Phone (803) 933-6784

Interoperability endpoints

  • Direct secure messaging: ilamotta380422@direct.musc.edu
  • Direct secure messaging: ivan.lamotta.1@5499.direct.athenahealth.com
  • Direct secure messaging: ivan.lamotta.1@921.direct.athenahealth.com

Organizations & group practices 5

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1598803462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107",
            "fax_number": "803-253-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107",
            "fax_number": "803-253-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTA",
        "first_name": "IVAN",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "31672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.