Active NPI
Soowhan Lah, M.D.
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 077659
- Practice address
- 736 Cambridge St
Internal Medicine Residency Program - Mailbox #13
Boston, MA 02135-2907 - Phone
- (503) 886-9722
- NPI assigned
- Jul 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 245655 | MA | |
| Internal Medicine Physician | 207R00000X | 8623977-1205 | UT | |
| Internal Medicine Physician | 207R00000X | 077659 | GA | Primary |
Addresses
Primary practice location
736 Cambridge St
Internal Medicine Residency Program - Mailbox #13
Boston, MA 02135-2907
Mailing address
2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773
Other practice location 1
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Tufts University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 W 800
Orem, UT 84057-3660
Phone (801) 783-5011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245655 | MA | MD | Internal Medicine Physician |
| 8623977-1205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients |
Locations
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Interoperability endpoints
- soowahn.lah@hca3.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1003128760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 MANCHESTER EXPY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046878",
"telephone_number": "706-320-2773",
"fax_number": "706-596-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "503-886-9722"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421606",
"country_code": "US",
"telephone_number": "404-851-8000",
"fax_number": "404-303-3759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAH",
"first_name": "SOOWHAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "245655",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "8623977-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "077659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.