LIRIDON ZGURI MD
NPI 1992258081
Hospitalist in Springfield, MO

Q: What is Liridon Zguri's NPI number?

The NPI number for Liridon Zguri is 1992258081. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Q: What is Liridon Zguri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Liridon Zguri was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 26, 2016PECOS EnrolledAccepts Medicare Assignment

1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2600 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Liridon Zguri Md NPPES

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

LIRIDON ZGURI MD (NPI 1992258081) is an individual hospitalist provider in Springfield, Missouri, licensed in Missouri (2019022986) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1992258081

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameLIRIDON ZGURICredential: MD

Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203

Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-2600

Phone(417) 820-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 26, 2016

Last NPPES UpdateJuly 16, 2019

✔ NPI 1992258081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MO · 2019022986

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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

1235 E CHEROKEE ST, Springfield, MO 65804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Liridon Zguri Md 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 ID4486980067

PECOS Enrollment IDI20190722000293

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

168 services163 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

66 services65 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

41 services41 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260059

Location100 Hospital DriveLebanon, MO 65536 · Laclede County

Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO

OwnershipVoluntary non-profit - Church

CMS Certification Number261316

Location500 Porter AvenueAurora, MO 65605 · Lawrence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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.

MR. SUJAN POUDEL M.D.

Internal Medicine