NPIMap

Individual provider Active NPI

Lakshmi Narayana Padala, MD

  • Family Medicine Physician
  • Lecanto, FL
National Provider Identifier
1053379735
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 112493 Issued in FL
Practice address
2063 N Lecanto Hwy Ste 1
Lecanto, FL 34461-9675
Phone
(352) 436-4428
Fax
(352) 228-4903
NPI assigned
May 3, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71548 GA
Family Medicine Physician 207Q00000X ME 112493 FL Primary

Addresses

Primary practice location

2063 N Lecanto Hwy Ste 1
Lecanto, FL 34461-9675

Mailing address

2063 N Lecanto Hwy Ste 1
Lecanto, FL 34461-9675
Phone (352) 436-4428

Other identifiers 3

IdentifierTypeStateIssuer
014495300MedicaidFL
0-627-417-9OtherECFMG
14L2TOtherFLBCBS

Other names 1

  • N/a N/a Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000813 FL Practitioner - Family Practice 5698787869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Padala Family Practice PLLCGroup PAC ID 2466608500, 2 clinicians

Practice addresses (Care Compare)

2063 N Lecanto Hwy
Suite 1
Lecanto, FL 34461-9675
Phone (352) 436-4428

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 112493FLMDFamily Medicine Physician
71548GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Padala Family Practice, PLLC Family Medicine CurrentSince Jul 18, 2012 Accepting new patients
Padala Family Practice, PLLC Family Medicine Past Accepting new patients
Sun MD PLLC Family Medicine Past Accepting new patients
Padala Family Practice, PLLC Family Medicine Past Accepting new patients
Padala Family Practice, PLLC Family Medicine Past Accepting new patients
Sun MD PLLC Family Medicine Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Sun MD PLLC Family Medicine Past Accepting new patients
Medfleet LLC PastSince Feb 24, 2021 Accepting new patients

Locations

105 N Osceola Ave
Ste 1
Inverness, FL 34450
Phone (352) 436-4428

2021 N Crooked Branch Dr
Lecanto, FL 34461
Phone (352) 436-4428

2063 N Lecanto Hwy
Ste 1
Lecanto, FL 34461
Phone (352) 436-4428

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEHECD/Endpoint/AEHECD
  • Direct secure messaging: lpadala296942@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEHECD

Organizations & group practices 11

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 8

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1053379735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 N LECANTO HWY STE 1",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619675",
            "telephone_number": "352-436-4428",
            "fax_number": "352-228-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 N LECANTO HWY STE 1",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619675",
            "telephone_number": "352-436-4428",
            "fax_number": "352-228-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADALA",
        "first_name": "LAKSHMI",
        "middle_name": "NARAYANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "71548",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 112493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014495300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-627-417-9",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14L2T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.