Individual provider Active NPI

Lawrence Feigenbaum, M.D.

  • Dermatology Physician
  • Cape Girardeau, MO
National Provider Identifier
1851633242
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2017002762 Issued in MO
Practice address
304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone
(573) 803-3331
NPI assigned
Mar 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2017002762 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920

Mailing address

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (573) 803-3331

Other practice location 1

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170707000936 MO Practitioner - Dermatology 4688943608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-County Dermatology, IncGroup PAC ID 8022171024, 2 clinicians
Alliance Health and Dermatology, LLCGroup PAC ID 5597094961, 5 clinicians

Practice addresses (Care Compare)

3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 994-0200

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (573) 803-3331

Hospital & facility affiliations

  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions919
Removal or shaving of skin growth1-10
Skin biopsy218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017002762MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-County Dermatology, Inc CurrentSince May 15, 2021 Accepting new patients
Alliance Health and Dermatology, LLC Dermatology CurrentSince Sep 1, 2019 Accepting new patients
Lawrence E. Samuels M.D., Inc. Dermatology CurrentSince Aug 1, 2017 Accepting new patients
Mercy Clinic Dermatology LLC Dermatology PastSince Aug 1, 2017 Accepting new patients

Locations

222 S Woods Mill Rd
Ste 480N
Chesterfield, MO 63017
Phone (314) 576-7336

222 S Woods Mill Rd
Ste 480
Chesterfield, MO 63017
Phone (314) 306-3818

304 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9933

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

3009 N Ballas Rd
Ste 100
Saint Louis, MO 63131
Phone (314) 432-1111

Interoperability endpoints

  • Direct secure messaging: midcountydermatology.lawrencefeigenbaum@155062.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1851633242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-803-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-803-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIGENBAUM",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-23",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2017002762",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.