Individual provider Active NPI

Sanjay Lamba, MD

  • Pediatrics Physician
  • Manassas, VA
National Provider Identifier
1124069901
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101222057 Issued in VA
Practice address
8600 Rolling Rd
Ste 100
Manassas, VA 20110-3828
Phone
(703) 361-3870
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101222057 VA Primary

Addresses

Primary practice location

8600 Rolling Rd
Ste 100
Manassas, VA 20110-3828

Mailing address

5131 Pleasant Forest Dr
Centreville, VA 20120-1249
Phone (703) 803-3282

Other identifiers 1

IdentifierTypeStateIssuer
006702015MedicaidVA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101222057VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates Past Accepting new patients
Emergency Medicine Associates P.a., P.C. Pediatrics Past Accepting new patients
Pediatric Practice,PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7645/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sanjay.lamba.1@7645.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124069901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 PLEASANT FOREST DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201249",
            "telephone_number": "703-803-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 ROLLING RD",
            "address_2": "STE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103828",
            "telephone_number": "703-361-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101222057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006702015",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.