JAIVANTI LOHANO MD NPI 1003000902
Family Medicine in Louisville, KY

About JAIVANTI LOHANO MD

Jaivanti Lohano is a primary care provider established in Louisville, Kentucky and her medical specialization is Family Medicine with more than 27 years of experience. The NPI number of Jaivanti Lohano is 1003000902 and was assigned on September 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 41402 (KY). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003000902
Provider Name JAIVANTI LOHANO MD
Location Address2215 PORTLAND AVE LOUISVILLE, KY 40212
Location Phone(502) 774-8631
Mailing Address2215 PORTLAND AVE LOUISVILLE, KY 40212
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?No
Enumeration Date09-04-2007
Last Update Date12-08-2020

A primary care provider (PCP) like Jaivanti Lohano Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Jaivanti Lohano is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jaivanti Lohano is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.51 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.41402
License StateKY
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JAIVANTI LOHANO MD
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
Fax: (502) 778-3499

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Mailing Address

JAIVANTI LOHANO MD
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
Fax: (502) 778-3499


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1153415187
PECOS Enrollment IDI20070920000606
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 40212 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.72 $168.41 $84.75
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.68 $42.1 $21.18
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.65 $137.34 $98.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.16 $34.33 $24.51

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 84.1
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95.2
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 44Urinalysis, manual test (HCPCS:81002)
  • 41Administration of influenza virus vaccine (HCPCS:G0008)
  • 40Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 19Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine01063381AINNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7100065920MEDICAID (05)KY

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003000902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 0 + 9 + 0 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003000902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013913037 KAREN DUCKWALL MD
Individual
Obstetrics & Gynecology2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1861498719 ELAINE M WOERNER MD
Individual
Family Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1407852395 LORINE POWELL HOUSWORTH MD
Individual
Internal Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1811993884 MARVIN J HANKA MD
Individual
Family Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1730185638 NERITTA C LANCETA MD
Individual
Family Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1356347058 DEBRA SIMMONS ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1083610745 RITA HARRISON ARNP
Individual
Nurse Practitioner2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1225034051 LESLIE Y SMITH M.D.
Individual
Family Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1770589467 KAREN POTTINGER ARNP
Individual
Nurse Practitioner2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1942206693 MARGARET FACKLER APRN
Individual
Nurse Practitioner (Women's Health)2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1336145028 DIANE MURPHY MSW
Individual
Social Worker (Clinical)2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1063418614 MICHAEL OWEN SCHMITT DMD
Individual
Dentist2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1134113822 RICHARD D. LARSON M.D.
Individual
Family Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1376527010 JANE H CHAMBERLAIN APRN
Individual
Nurse Practitioner (Obstetrics & Gynecology)2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1568433837 MEENAPRATAP CHILUKURI MD
Individual
Internal Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1437127396DR. SARAH O'DANIEL FORTUNA M.D.
Individual
Family Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1770535486DR. BEVERLY J VANCE MD
Individual
Family Medicine2215 PORTLAND AVE ATTN BILLING DEPT.
LOUISVILLE, KY 40212
(502) 774-8631
1629159322 MORRIS LLOYD RPH, MA
Individual
Pharmacist2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1700935764 PETER LEE THURMAN SR. M.D.
Individual
Internal Medicine2215 PORTLAND AVE
LOUISVILLE, KY 40212
(502) 774-8631
1558406678MR. MICHAEL WAYNE MCWILLIAMS RPH, MS, MBA
Individual
Pharmacist2215 PORTLAND AVE PHARMACY
LOUISVILLE, KY 40212
(502) 772-0889

Frequently Asked Questions

What is Jaivanti Lohano MD NPI number?

The NPI number assigned to Jaivanti Lohano MD is 1003000902, registered as an "individual" on September 04, 2007

Where is Jaivanti Lohano MD located?

The provider is located at 2215 Portland Ave Louisville, Ky 40212 and the phone number is (502) 774-8631

Which is Jaivanti Lohano MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Jaivanti Lohano MD have?

The provider has more than 27 years of experience.

What insurance does Jaivanti Lohano MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Jaivanti Lohano MD registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Jaivanti Lohano MD Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Jaivanti Lohano MD?

Medicare beneficiaries should expect a typical cost of $84.75 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $98.06 and an average copayment of 24.51. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Jaivanti Lohano MD?

The most common procedures or services performed by this practitioner are: Urinalysis, manual test, Administration of influenza virus vaccine, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention and Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

How do I update my NPI information?

The NPI record of Jaivanti Lohano MD was last updated on September 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]