Individual provider Active NPI

Lauren Dabakaroff, DPM

  • Primary Podiatric Medicine Podiatrist
  • Davie, FL
National Provider Identifier
1962898189
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
3997 Issued in FL
Practice address
4601 S University Dr
Davie, FL 33328-3817
Phone
(954) 680-7133
Fax
(954) 680-7135
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 3997 FL Primary

Addresses

Primary practice location

4601 S University Dr
Davie, FL 33328-3817

Mailing address

4601 S University Dr
Davie, FL 33328-3817
Phone (954) 680-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214000862 FL Practitioner - Podiatry 4385982511 Reassigns benefits to 1 organization
Practice locations: Davie, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LMD Podiatry LLCGroup PAC ID 4486024536, 2 clinicians

Practice addresses (Care Compare)

4601 S University Dr
Davie, FL 33328-3817
Phone (954) 680-7133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions26
Removal of nail tissue71
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3997FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
LMD Podiatry LLC Single Specialty CurrentSince Nov 28, 2022 Accepting new patients

Locations

4601 S University Dr
Davie, FL 33328
Phone (804) 216-0807

Interoperability endpoints

  • Direct secure messaging: lauren.dabakaroff@lpl-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1962898189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283817",
            "telephone_number": "954-680-7133",
            "fax_number": "954-680-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283817",
            "telephone_number": "954-680-7133",
            "fax_number": "954-680-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAKAROFF",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "3997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.