Individual provider Active NPI

Lomda Lual, M.D

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1104212190
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56669 Issued in AZ
Practice address
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone
(615) 327-6611
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 56669 AZ Primary

Addresses

Primary practice location

1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501

Mailing address

17017 N 12TH St Unit 2130
Phoenix, AZ 85022-6703

Other practice location 1

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 771-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181211000218 AZ Practitioner - HospitalistPractitioner - Internal Medicine 6406190966 Reassigns benefits to 1 organization
I20201110002482 TX Practitioner - Internal Medicine 6406190966 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 7, 2020 Accepting new patients
Yadwinder S Dhillon MD PC Past Accepting new patients

Locations

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

11411 N 19th Ave
Phoenix, AZ 85029
Phone (602) 256-7500

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4065 E Bell Rd
Phoenix, AZ 85032
Phone (602) 867-0212

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

Organizations & group practices 4

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1104212190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17017 N 12TH ST UNIT 2130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011641",
            "country_code": "US",
            "telephone_number": "928-771-5470",
            "fax_number": "928-771-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUAL",
        "first_name": "LOMDA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "56669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.