Individual provider Active NPI

Luis Arrazola, MD

  • Surgery Physician
  • Lebanon, OR
National Provider Identifier
1972679256
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD153414 Issued in OR
Practice address
100 Mullins Dr
Suite C-1
Lebanon, OR 97355-3982
Phone
(541) 451-6412
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X D0057608 MD
Surgery Physician 208600000X MD00048641 WA
Transplant Surgery Physician 204F00000X MD00048641 WA
Surgery Physician 208600000X MD153414 OR Primary

Addresses

Primary practice location

100 Mullins Dr
Suite C-1
Lebanon, OR 97355-3982

Mailing address

100 Mullins Dr
Suite C-1
Lebanon, OR 97355-3982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240228002263 MN Practitioner - General Surgery 6507813433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
87.49
Promoting interoperability
100
Improvement activities
40
Cost
44.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057608MDMDTransplant Surgery Physician
MD00048461WAMDInternal Medicine Physician
MD153414ORMDSurgery Physician
MD00048641WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windom Area Hospital Current Accepting new patients

Locations

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1972679256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MULLINS DR",
            "address_2": "SUITE C-1",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MULLINS DR",
            "address_2": "SUITE C-1",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553982",
            "telephone_number": "541-451-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRAZOLA",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MD",
            "license": "D0057608",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00048641",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "WA",
            "license": "MD00048641",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD153414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.