Individual provider Active NPI

John David Lasater, MD

  • Urology Physician
  • Hampton, VA
National Provider Identifier
1083659007
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101040054 Issued in VA
Practice address
4000 Coliseum Dr
Ste 300
Hampton, VA 23666-5906
Phone
(757) 452-3441
Fax
(757) 224-1799
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 31041 NC
Urology Physician 208800000X 0101040054 VA Primary

Addresses

Primary practice location

4000 Coliseum Dr
Ste 300
Hampton, VA 23666-5906

Mailing address

4000 Coliseum Dr
Ste 300
Hampton, VA 23666-5906
Phone (757) 452-3441

Other identifiers 2

IdentifierTypeStateIssuer
02298OtherNCBCBS
8902298MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090113000580 VA Practitioner - Urology 2466552021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.25 of 100Reported as group
Quality
57.23
Promoting interoperability
100
Improvement activities
40
Cost
73.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31041NCMDUrology Physician
0101040054VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Virginia, PLLC Urology CurrentSince Oct 1, 2011 Accepting new patients
Urology of Virginia, PLLC Urology CurrentSince Oct 1, 2011 Accepting new patients
New Bern Urology Clinic Inc Urology Past Accepting new patients

Locations

4000 Coliseum Dr
Ste 300
Hampton, VA 23666
Phone (757) 452-3441

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

Interoperability endpoints

  • Direct secure messaging: jlasater1152970@direct.bsmhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1083659007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR",
            "address_2": "STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665906",
            "telephone_number": "757-452-3441",
            "fax_number": "757-224-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR",
            "address_2": "STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665906",
            "telephone_number": "757-452-3441",
            "fax_number": "757-224-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASATER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "31041",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101040054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02298",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902298",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.