MS. LORI B INDENBAUM PA-C
NPI 1255340683
Physician Assistant in Rockville, MD

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
2101 E JEFFERSON ST, ROCKVILLE, MD 20852(301) 816-2414(301) 388-1740 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lori B Indenbaum Pa-c NPPES

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

MS. LORI B INDENBAUM PA-C (NPI 1255340683) is an individual physician assistant in Rockville, Maryland, licensed in Maryland (C01810) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1255340683
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LORI B INDENBAUMCredential: PA-C
Location Address2101 E JEFFERSON STRockville, MD 20852-4908
Mailing Address2101 E Jefferson StRockville, MD 20852-4908 · (301) 816-2414 · Fax (301) 388-1740
Fax(301) 388-1740
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 2, 2021
NPPES CertifiedJune 2, 2021
NPI 1255340683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C01810
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2101 E JEFFERSON ST, Rockville, MD 20852

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

Ms. Lori B Indenbaum Pa-c 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 ID5890972194
PECOS Enrollment IDI20110614000855
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 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2101 E JEFFERSON ST
ROCKVILLE, MD 20852
Internal Medicine
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852
Orthopaedic Surgery
2101 E JEFFERSON ST, STE 100
ROCKVILLE, MD 20852
Obstetrics & Gynecology
2101 E JEFFERSON ST
ROCKVILLE, MD 20852
Pharmacist
2101 E JEFFERSON ST, PHARMACY ADMINISTRATION 3 WEST
ROCKVILLE, MD 20852
Internal Medicine
2101 E JEFFERSON ST
ROCKVILLE, MD 20852
Pediatrics
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
ROCKVILLE, MD 20852
Internal Medicine
2101 E JEFFERSON ST, SUITE 308
ROCKVILLE, MD 20852

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 Lori Indenbaum's NPI number?

The NPI number for Lori Indenbaum is 1255340683. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Lori Indenbaum located?

Lori Indenbaum practices at 2101 E Jefferson St, Rockville, MD 20852. The listed phone number is (301) 816-2414.

What is Lori Indenbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lori Indenbaum enrolled in Medicare?

Yes. Lori Indenbaum 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 Lori Indenbaum was last updated on June 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.