NPIMap

Individual provider Active NPI

Jose Luis Perez Lara, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Richmond, VA
National Provider Identifier
1013461060
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101274652 Issued in VA
Practice address
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone
(804) 289-4500
Fax
(757) 512-8262
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101274652 VA
Pulmonary Disease Physician 207RP1001X 0101274652 VA
Pulmonary Disease Physician 207RP1001X 036.165327 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101274652 VA Primary

Addresses

Primary practice location

1602 Skipwith Rd
Richmond, VA 23229-5205

Mailing address

105 Bennington CT
Yorktown, VA 23693-5575
Phone (312) 292-6173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220707000548 VA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8426438508 Reassigns benefits to 4 organizations
I20260608003898 IL Practitioner - Internal Medicine 8426438508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Institute of Lung Diseases LLCGroup PAC ID 0941677256, 10 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Richmond Heart and Vascular AssociatesGroup PAC ID 4385039718, 23 clinicians

Practice addresses (Care Compare)

101 Pickett PL
Yorktown, VA 23693-2451
Phone (502) 244-9859

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (615) 372-3372

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 800-6600

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Abraham Lincoln Memorial Hospital Hospital, Lincoln, IL, CCN 141322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101274652VAMDCritical Care Medicine (Internal Medicine) Physician
036.165327ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Heart and Vascular Associates Pulmonary Disease CurrentSince Sep 1, 2025 Accepting new patients
Augusta Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Augusta Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Virginia Institute of Lung Diseases LLC Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

70 Medical Center Cir
Ste 308
Fishersville, VA 22939
Phone (540) 245-7190

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

8243 Meadowbridge Rd
Mechanicsvlle, VA 23116
Phone (804) 730-1481

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: jose.perez.lara.1@25854.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25854/brand/4/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1013461060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BENNINGTON CT",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935575",
            "telephone_number": "312-292-6173",
            "fax_number": "757-512-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295205",
            "telephone_number": "804-289-4500",
            "fax_number": "757-512-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ LARA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101274652",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101274652",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.165327",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101274652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.