Individual provider Active NPI

Jeffrey S Lombard, D.O.

  • Urology Physician
  • Largo, FL
National Provider Identifier
1669441705
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS0004266 Issued in FL
Practice address
2039 Indian Rocks Rd S
Largo, FL 33774-1035
Phone
(727) 596-9652
Fax
(727) 593-5128
NPI assigned
Mar 14, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X OS0004266 FL Primary

Addresses

Primary practice location

2039 Indian Rocks Rd S
Largo, FL 33774-1035

Mailing address

2039 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 596-9652

Other identifiers 2

IdentifierTypeStateIssuer
066224100MedicaidFL
OS0004286OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101202001098 FL Practitioner - Urology 3173609161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2039 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 596-9652

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0004266FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Shore Urology Assoc PA Urology CurrentSince Jan 1, 1983 Accepting new patients
Medical Associates of Pinellas LLC Past Accepting new patients

Locations

13201 Walsingham Rd
Largo, FL 33774
Phone (727) 593-7909

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAHECA/Endpoint/EAHECA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1669441705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-596-9652",
            "fax_number": "727-593-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-596-9652",
            "fax_number": "727-593-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "OS0004266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066224100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS0004286",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.