Individual provider Active NPI

Sankar Lakshman, M.D.

  • Diagnostic Radiology Physician
  • Pineville, KY
National Provider Identifier
1053361337
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12386 Issued in TN
Practice address
850 Riverview Rd
Pineville, KY 40977-1430
Phone
(276) 523-7938
Fax
(276) 523-7028
NPI assigned
May 10, 2006
Last updated
Sep 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12386 TN Primary

Addresses

Primary practice location

850 Riverview Rd
Pineville, KY 40977-1430

Mailing address

8905 Bartlett LN
Knoxville, TN 37922-8086
Phone (865) 470-8380

Other identifiers 1

IdentifierTypeStateIssuer
4009445MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090408000063 KY Practitioner - Diagnostic Radiology 4587641915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

850 Riverview Rd
Pineville, KY 40977-1430
Phone (859) 263-4341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12386TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pineville Radiology Associates, PSC Diagnostic Radiology CurrentSince Mar 21, 1995 Accepting new patients

Locations

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

1024 N Main St
Rice Lake, WI 54868
Phone (715) 234-7776

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1053361337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 BARTLETT LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228086",
            "telephone_number": "865-470-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "276-523-7938",
            "fax_number": "276-523-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKSHMAN",
        "first_name": "SANKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "12386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4009445",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

Verify at the official NPI Registry.