NPIMap

Individual provider Active NPI

Jagdish Lal, M.D.

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1083802763
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
09900578 Issued in NC
Practice address
6977 Nexus CT
Ste. # 101
Fayetteville, NC 28304-2650
Phone
(910) 864-7933
Fax
(910) 272-7177
NPI assigned
Oct 9, 2007
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 09900578 NC Primary

Addresses

Primary practice location

6977 Nexus CT
Ste. # 101
Fayetteville, NC 28304-2650

Mailing address

6977 Nexus CT
Ste. # 101
Fayetteville, NC 28304-2650
Phone (910) 864-7933

Other identifiers 1

IdentifierTypeStateIssuer
8912136MedicaidNC

Other names 1

  • Jagdish Lal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101020000732 NC Practitioner - Internal Medicine 3072706266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6977 Nexus CT
Suite 101
Fayetteville, NC 28304-2651
Phone (910) 864-7933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09900578NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jagdish Lal MD PA Internal Medicine CurrentSince Jun 15, 2002 Accepting new patients

Locations

6977 Nexus Ct
Ste 101
Fayetteville, NC 28304
Phone (910) 864-7933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFGCA/Endpoint/EJFGCA

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1083802763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 NEXUS CT",
            "address_2": "STE. # 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042650",
            "telephone_number": "910-864-7933",
            "fax_number": "910-272-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6977 NEXUS CT",
            "address_2": "STE. # 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042650",
            "telephone_number": "910-864-7933",
            "fax_number": "910-272-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "09900578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAGDISH",
            "last_name": "LAL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.