Individual provider Active NPI

Khoa D Lai, MD

  • Plastic Surgery Physician
  • Lafayette, IN
National Provider Identifier
1023087673
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
01044085A Issued in IN
Practice address
1345 Unity PL
Suite 210
Lafayette, IN 47905-5762
Phone
(765) 446-5432
Fax
(765) 446-5431
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 01044085A IN Primary

Addresses

Primary practice location

1345 Unity PL
Suite 210
Lafayette, IN 47905-5762

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Other identifiers 1

IdentifierTypeStateIssuer
200050500MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khoalai@idx.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000005 IN Practitioner - Plastic and Reconstructive Surgery 7719958495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Washington School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

1345 Unity PL
Suite 210
Lafayette, IN 47905-5762
Phone (765) 446-5432

Hospital & facility affiliations

  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
  • Indiana University Health Arnett Hospital Hospital, Lafayette, IN, CCN 150173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision285
Removal of skin lesions1-10
Skin biopsy16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare LLC CurrentSince May 1, 2005 Accepting new patients
Unity Healthcare, LLC CurrentSince May 1, 2005 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

1345 Unity Pl
Ste 210
Lafayette, IN 47905
Phone (765) 446-5432

1345 Unity Pl
Ste 310
Lafayette, IN 47905
Phone (765) 446-5210

152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556

Interoperability endpoints

  • Direct secure messaging: klai106987@direct.franciscanalliance.org
  • Direct secure messaging: khoalai@idx.allscriptsdirect.net

Organizations & group practices 4

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 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1023087673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL",
            "address_2": "SUITE 210",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055762",
            "telephone_number": "765-446-5432",
            "fax_number": "765-446-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KHOA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01044085A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200050500",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khoalai@idx.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1345 Unity Pl",
            "address_2": "Suite 210",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479055762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.