Individual provider Active NPI

Lara Lindgren, PA-C

  • Physician Assistant
  • Chevy Chase, MD
National Provider Identifier
1144673443
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA031919 Issued in DC
Practice address
5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322
Phone
(301) 657-9876
Fax
(301) 657-8229
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C06295 MD
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X PA031919 DC Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322

Mailing address

5530 Wisconsin Ave Ste 1660
Chevy Chase, MD 20815-4322
Phone (301) 657-9876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161024000903 DC Practitioner - Physician Assistant 4981982121 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA031919DCMDPhysician Assistant
C06295MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Sep 15, 2016 Accepting new patients
District Hospital Partners LP CurrentSince Jan 19, 2021 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Sep 15, 2016 Accepting new patients
District Hospital Partners L P CurrentSince Jan 19, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 1, 2022 Accepting new patients
Centers for Advanced Orthopaedics LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

5530 Wisconsin Ave
Ste 1660
Chevy Chase, MD 20815
Phone (301) 657-9876

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

Organizations & group practices 8

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1144673443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "LARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06295",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.