Individual provider Active NPI

Lois Mastrofrancesco, MD

  • Radiation Oncology Physician
  • Germantown, TN
National Provider Identifier
1932315389
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
42249 Issued in TN
Practice address
1869 Laurel LN
Germantown, TN 38139-6955
Phone
(901) 854-6338
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 42249 TN Primary

Addresses

Primary practice location

1869 Laurel LN
Germantown, TN 38139-6955

Mailing address

1869 Laurel LN
Germantown, TN 38139-6955
Phone (901) 854-6338

Other identifiers 1

IdentifierTypeStateIssuer
3000494MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22074WVMDPsychologist
42249TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Cancer Specialists I, PC Past Accepting new patients
Memphis Radiological, PC Past Accepting new patients
Memphis Radiological, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmastrofrancesco273270@ahs.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1932315389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 LAUREL LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396955",
            "telephone_number": "901-854-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 LAUREL LN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396955",
            "telephone_number": "901-854-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROFRANCESCO",
        "first_name": "LOIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "42249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000494",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.