Individual provider Active NPI

Tara Lal

  • Obstetrics & Gynecology Physician
  • Bryn Mawr, PA
National Provider Identifier
1215469580
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD472958 Issued in PA
Practice address
919 Conestoga Rd Ste 104
Bryn Mawr, PA 19010-1352
Phone
(610) 525-6400
Fax
(610) 525-1801
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD472958 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

919 Conestoga Rd Ste 104
Bryn Mawr, PA 19010-1352

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

1951 Pierce Dr
Whitehall, PA 18052-4001
Phone (610) 533-5257

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tara.lal@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20210816000016 PA Practitioner - Obstetrics/Gynecology 7012251333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

919 Conestoga Rd
Suite 104
Bryn Mawr, PA 19010-1352
Phone (610) 525-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD472958PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Aug 2, 2021 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Aug 15, 2021 Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 201
Bryn Mawr, PA 19010
Phone (610) 265-0184

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

583 Shoemaker Rd
Ste 104
King of Prussia, PA 19406
Phone (610) 265-0184

120 Valley Green Ln
Ste 600
King of Prussia, PA 19406
Phone (610) 525-3225

3855 West Chester Pike
Ste 305
Newtown Square, PA 19073
Phone (215) 732-5590

Interoperability endpoints

  • Direct secure messaging: tara.lal@axia.eclinicaldirectplus.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1215469580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD STE 104",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-6400",
            "fax_number": "610-525-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 Pierce Dr",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "PA",
            "postal_code": "180524001",
            "country_code": "US",
            "telephone_number": "610-533-5257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD472958",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tara.lal@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Conestoga Rd Ste 104",
            "city": "Bryn Mawr",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190101352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.