Individual provider Active NPI

Lars Thestrup, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1962558304
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N2839 Issued in TX
Practice address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone
(704) 355-3181
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N2839 TX Primary
Emergency Medicine Physician 207P00000X 0101240821 VA
Emergency Medicine Physician 207P00000X 2007-00434 NC
Diagnostic Ultrasound Physician 2085U0001X 2007-00434 NC

Addresses

Primary practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-3181

Other identifiers 3

IdentifierTypeStateIssuer
145WCOtherNCNCBCBS
N0043BMedicaidSC
5906799MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090805000460 TX Practitioner - Emergency Medicine 4880788256 Reassigns benefits to 9 organizations
I20241216002350 FL Practitioner - Emergency Medicine 4880788256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

225 E Parkwood Ave
HCA Houston Clear Lake
Friendswood, TX 77546-5145
Phone (281) 549-9400

9740 Barker Cypress Rd
Suite 108
Cypress, TX 77433-1974
Phone (281) 990-6890

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240821VAMDEmergency Medicine Physician
2007-00434NCMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 12, 2020 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 16, 2021 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Oct 21, 2014 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 16, 2021 Accepting new patients
Bay Area Emergency Partners Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Oct 21, 2014 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Apr 29, 2024 Accepting new patients
Texas Children'S Physician Group CurrentSince Nov 23, 2014 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients
Alpesh D. Desai, D.O. P.a. Past Accepting new patients

Locations (25 of 42)

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1430 Dale Mabry Hwy
Fl Lutz
Lutz, FL 33548
Phone (813) 953-3900

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

9740 Barker Cypress Rd
Ste 108
Cypress, TX 77433
Phone (281) 463-5200

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

Organizations & group practices 16

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.

View all 16

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1962558304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THESTRUP",
        "first_name": "LARS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N2839",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101240821",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2007-00434",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "2007-00434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "145WC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0043B",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906799",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.