John Kenneth Lourie, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME0068394 Issued in FL

Practice address

4900 Manatee Ave. W, Suite 201
Bradenton, FL 34209

Phone

(941) 746-5200

Fax

(941) 746-5266

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Indiana University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• Highlands Cashiers Hospital Hospital, Highlands, NC, CCN 341316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heart Attack Prevention Center

  • Medical Specialty Clinic/Center
  • Bradenton, FL
  • NPI 1730489105
  Medicare reassignment NPD Authorized official
• Advanced Cardiology PA

  • Interventional Cardiology Physician
  • Bradenton, FL
  • NPI 1598853962
  NPD Authorized official
• Cardiology Associates of Bradenton PA

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1154314078
  NPD (past)

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

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• MH Highlands-Cashiers Medical Center, LLLP

  • Critical Access Hospital
  • Highlands, NC
  • NPI 1770068496
  Care Compare affiliation
• MH Highlands-Cashiers Medical Center, LLLP

  • Rural Health Clinic/Center
  • Cashiers, NC
  • NPI 1922577048

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1700878451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MANATEE AVE. W, SUITE 201",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-746-5200",
            "fax_number": "941-746-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MANATEE AVE. W, SUITE 201",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-746-5200",
            "fax_number": "941-746-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURIE",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME0068394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378088100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "205060385",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "27143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna M Losco-Story, MD
• Robby Ali Lott Jr.
• Lotus Behavioral Health LLC
• Lotus Women'S Health LLC
• Louisa Group LLC
• Brianna C. Love, PA
• Randy W Love, CST/CFA
• Kimberly A Lovelace, OT
• Elizabeth Marie Lovell, NP
• James C Lovett, MD

• Interventional Cardiology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.