NPIMap

Individual provider Active NPI

Keith Lerro, M.D.

  • Hematology & Oncology Physician
  • Wilson, NC
National Provider Identifier
1730161092
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
200300489 Issued in NC
Practice address
2624 Ortho Dr
Wilson, NC 27893-3484
Phone
(252) 991-5261
Fax
(252) 991-5262
NPI assigned
Nov 14, 2005
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 200300489 NC Primary

Addresses

Primary practice location

2624 Ortho Dr
Wilson, NC 27893-3484

Mailing address

2624 Ortho Dr W
Wilson, NC 27893-3484
Phone (252) 991-5261

Other identifiers 2

IdentifierTypeStateIssuer
NC7584B425OtherNCMEDICARE PTAN
5920149MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090828000596 NC Practitioner - Hematology/Oncology 1557416401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Medical Oncology Center, PAGroup PAC ID 7214183714, 3 clinicians

Practice addresses (Care Compare)

2624 Ortho Dr
Wilson, NC 27893-3484

2624 Ortho Dr W
Wilson, NC 27893-3484
Phone (252) 991-5261

2806 Wooten Blvd SW
Wilson, NC 27893-8624
Phone (252) 991-5261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
79.2
Promoting interoperability
99
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, P.C. CurrentSince Jul 19, 2009 Accepting new patients
24 On Physicians, P.C. CurrentSince Jul 19, 2009 Accepting new patients
Regional Medical Oncology Center Current Accepting new patients

Locations

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

2624 Ortho Dr W
Wilson, NC 27893
Phone (252) 293-0777

Organizations & group practices 4

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 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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1730161092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERRO",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "200300489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC7584B425",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.