Lauro Amezcua-Patino, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036168702 Issued in IL

Practice address

2160 S 1St Ave
Maywood, IL 60153-3328

Phone

(708) 216-9000

NPI assigned

Aug 29, 2005

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Lauro Amezcua Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AZ, MD, TX, GA, WI, IL, CO, NJ, MO, OH, MS, MT, MI, NV, WA, OK, DE, TN, IN, NE, ME, NH, FL, UT, AL, WV26 enrollments

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 26

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Samaritan Regional Health CenterGroup PAC ID 1658272059, 155 clinicians

Southside Medical Center, Inc.Group PAC ID 6901700723, shared by 15 NPIs, 12 clinicians

SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Cass Regional Medical CenterGroup PAC ID 7517853781, shared by 7 NPIs, 44 clinicians

Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 102)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lamezcuapatino21879@cghmc.direct-ci.com
• Direct secure messaging: lamezcuapatino524462@direct-ehr-ssmhc.com
• Direct secure messaging: lauro.amezcuapatino.p1@direct.azch.nextgenshare.com
• Direct secure messaging: lauro.amezcuapatinomd.p1@direct.cfg.nextgenshare.com

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.

• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1487758801
  Medicare reassignment Care Compare group NPD
• Agnesian Healthcare, Inc

  dba SSM Health St Agnes Hospital Fond Du Lac

  • General Acute Care Hospital
  • Fond Du Lac, WI
  • NPI 1346228541
  Medicare reassignment Care Compare group NPD
• SSM Health Care St Louis

  dba SSM Health St Clare Fenton

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment Care Compare group NPD
• The Monroe Clinic, Inc.

  dba SSM Health Monroe Clinic Medical Group

  • Specialist
  • Monroe, WI
  • NPI 1386720548
  Medicare reassignment Care Compare group NPD
• Blessing Hospital

  • Multi-Specialty Clinic/Center
  • Quincy, IL
  • NPI 1114471737
  Medicare reassignment NPD
• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment NPD
• Holon Health Professional Corp

  dba Holon

  • Addiction Medicine (Preventive Medicine) Physician
  • Springfield, IL
  • NPI 1821971912

  CO, UT

  Medicare reassignment NPD
• SSM Cardinal Glennon Childrens Hospital

  dba SSM Health Cardinal Glennon Children's Hospital

  • Pediatrics Physician
  • O'Fallon, IL
  • NPI 1174577670

  MO, Psychiatry

  Medicare reassignment NPD
• St. Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • Emergency Medicine Physician
  • Centralia, IL
  • NPI 1770687196
  Medicare reassignment NPD
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Medicare reassignment NPD
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Medicare reassignment NPD
• Beebe Physician Network, Inc.

  dba Beebe Medical Group

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992
  Medicare reassignment NPD

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1659364396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-436S",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961374",
            "telephone_number": "602-339-3779",
            "fax_number": "480-393-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 N Mastick Way",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856211064",
            "country_code": "US",
            "telephone_number": "520-375-5000",
            "fax_number": "520-223-4337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4866",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "219-866-5141",
            "fax_number": "708-679-2161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEZCUA-PATINO",
        "first_name": "LAURO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61530096",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "17900",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036168702",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T6429",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "4023",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0026764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "T6429",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "17900",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lamezcuapatino524462@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lamezcuapatino524462@direct-ehr-ssmhc.com",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURO",
            "last_name": "AMEZCUA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abhishek A Alur, MD, MBA, MA
• Ana Lourdes Alvarez, M.D
• Nadia Alvi, D.O.
• Saira Fatima Alvi, BA
• Bernard Amaldoss, MD
• Andrea L Amico, MD
• Armaan Amin-Javaheri
• Malik Amir
• Jack Joseph Amja, M.D.
• Fnu Anam, M.D

• Psychiatry Physician in Maywood, IL
• Providers in Maywood, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.