DR. LAUREN KEMP LICINA M.D.
NPI 1235495680
Anesthesiology - Pediatric Anesthesiology in Shaker Heights, OH

Q: What is Lauren Licina's NPI number?

The NPI number for Lauren Licina is 1235495680. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Q: What is Lauren Licina's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Licina was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment

3256 ARDMORE RD, SHAKER HEIGHTS, OH 44120(216) 798-5974 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lauren Kemp Licina M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREN KEMP LICINA M.D. (NPI 1235495680) is an individual pediatric anesthesiology provider in Shaker Heights, Ohio, licensed in Ohio (35.131366) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2012).

NPPES Registry Identity

NPI1235495680

Entity TypeIndividualFemale

Primary Taxonomy207LP3000X

Provider Legal NameDR. LAUREN KEMP LICINACredential: M.D.

Location Address3256 ARDMORE RDShaker Heights, OH 44120-3402

Mailing Address525 E 68th StNew York, NY 10065-4870 · (212) 746-2959

Phone(216) 798-5974

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2012

Enumeration DateApril 10, 2012

Last NPPES UpdateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1235495680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in OH · 35.131366

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3256 ARDMORE RD, Shaker Heights, OH 44120

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lauren Kemp Licina M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860759180

PECOS Enrollment IDI20171121003435

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Licina's NPI number?

The NPI number for Lauren Licina is 1235495680. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Lauren Licina located?

Lauren Licina practices at 3256 Ardmore Rd, Shaker Heights, OH 44120. The listed phone number is (216) 798-5974.

What is Lauren Licina's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Lauren Licina enrolled in Medicare?

Yes. Lauren Licina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lauren Licina was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.