Active NPI
Roop Lal, M.D.
- Cardiovascular Disease Physician
- Belleville, IL
National Provider Identifier
1124059506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-074237
- Practice address
- 340 W Lincoln St
Belleville, IL 62220-1900 - Phone
- (618) 233-6044
- Fax
- (618) 233-3287
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 14, 2017
- 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036074237 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036-074237 | IL | Primary |
Addresses
Primary practice location
340 W Lincoln St
Belleville, IL 62220-1900
Mailing address
340 W Lincoln St
Belleville, IL 62220-1900
Phone (618) 233-6044
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16187 | Other | MO | BCBS MO |
| 42237 | Other | CMR | |
| 2507217 | Other | SECURE HORIZONS | |
| C41351 | Other | MERCY | |
| 098955 | Other | HEALTH ALLIANCE | |
| 12477 | Other | ESSENCE | |
| 236567 | Other | WELLCARE | |
| 37099690002 | Other | GHP | |
| 060009695 | Other | RR MEDICARE | |
| 0360742371 | Medicaid | IL | |
| 259513 | Other | UHC | |
| 187709 | Other | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-074237 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Cardiology Consultants LTD | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Belleville, IL
- NPI 1821015819
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1124059506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W LINCOLN ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201900",
"telephone_number": "618-233-6044",
"fax_number": "618-233-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 W LINCOLN ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201900",
"telephone_number": "618-233-6044",
"fax_number": "618-233-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAL",
"first_name": "ROOP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036074237",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-074237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MO",
"identifier": "16187",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "42237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "2507217",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "C41351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "098955",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "12477",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "236567",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "37099690002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "060009695",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360742371",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "259513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "187709",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.