Surender Lal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036057513 Issued in IL

Practice address

7722 S Kedzie
Chicago, IL 60652

Phone

(773) 434-2123

Fax

(773) 434-3146

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1124067863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 S KEDZIE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60652",
            "telephone_number": "773-434-2123",
            "fax_number": "773-434-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 S KEDZIE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60652",
            "telephone_number": "773-434-2123",
            "fax_number": "773-434-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "SURENDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036057513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "31601156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057513",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Laks
• Supatchara Laksanaprom, PSYD
• Flavia Lakschevitz, DDS
• Oren Joshua Lakser, M.D.
• Kumar Siddharth Lal, M.D.
• Jennifer Lala
• Mona Lala, MD
• Anna Lalande, PA
• Allison Lale, M.D.
• Mona Lalehzari, MD

• All providers in Chicago, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.