NPIMap

Individual provider Active NPI

Lucy Laperna, DO

  • Vascular & Interventional Radiology Physician
  • Columbus, OH
National Provider Identifier
1922003383
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
34.005937 Issued in OH
Practice address
3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone
(614) 340-7747
Fax
(614) 340-7742
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34005937M OH
Vascular & Interventional Radiology Physician 2085R0204X 34.005937 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214

Mailing address

100 E Campus View Blvd
Suite 160
Columbus, OH 43235
Phone (614) 396-4733

Other identifiers 2

IdentifierTypeStateIssuer
P00318374OtherOHRR MEDICARE
0996329MedicaidOH

Other names 1

  • Lucy Massullo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031117000494 OH Practitioner - Internal MedicinePractitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8325952161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34005937MOHMDInternal Medicine Physician
34.005937OHMDVascular & Interventional Radiology Physician
005937OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Riverside Radiology and Interventional Associates Inc CurrentSince Jul 1, 2006 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
The Center for Vein Therapy Internal Medicine Past Accepting new patients
Riverside Radiology & Interventional Assoc Past Accepting new patients

Locations

75 Hospital Dr
Ste 330
Athens, OH 45701
Phone (740) 566-4565

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone (614) 340-7747

100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

Organizations & group practices 5

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 9

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1922003383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "SUITE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-396-4733",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "STE 5360",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-340-7747",
            "fax_number": "614-340-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPERNA",
        "first_name": "LUCY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34005937M",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "34.005937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00318374",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0996329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "MASSULLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.