Active NPI
John David Lasater, MD
- Urology Physician
- Hampton, VA
National Provider Identifier
1083659007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101040054
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02298 | Other | NC | BCBS |
| 8902298 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.25 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31041 | NC | MD | Urology Physician |
| 0101040054 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Virginia, PLLC | Urology | Current | Accepting new patients |
| Urology of Virginia, PLLC | Urology | Current | 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
- 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.
-
- Urology Physician
- Virginia Beach, VA
- NPI 1982994117
-
- Urology Physician
- Virginia Beach, VA
- NPI 1568250504
-
- Urology Physician
- New Bern, NC
- NPI 1316986219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.