Active NPI
Ikuko Laccheo, M.D.
- Neurology Physician
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101254625
- Practice address
- 400 Sentara Cir Ste 201C
Williamsburg, VA 23188-5716 - Phone
- (757) 345-4490
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101254625 | VA | Primary |
Addresses
Primary practice location
400 Sentara Cir Ste 201C
Williamsburg, VA 23188-5716
Mailing address
10275 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3445
Phone (888) 464-2466
Other practice location 1
229 William Claiborne
Williamsburg, VA 23185-6528
Phone (888) 464-2466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Sentara Cir
Suite 201C
Williamsburg, VA 23188-5716
Phone (757) 736-1520
Hospital & facility affiliations
- Sentara Home Care Services-Williamsburg
- Sentara Williamsburg Regional Medical Center
- Sentara Careplex Hospital
- Sentara Obici Hospital
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ilaccheo27712@direct.xtensys.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Williamsburg, VA
- NPI 1750829164
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1255539797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10275 LITTLE PATUXENT PKWY STE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443445",
"telephone_number": "888-464-2466",
"fax_number": "410-740-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SENTARA CIR STE 201C",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885716",
"telephone_number": "757-345-4490"
}
],
"practiceLocations": [
{
"address_1": "229 William Claiborne",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231856528",
"country_code": "US",
"telephone_number": "888-464-2466",
"fax_number": "410-740-1518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACCHEO",
"first_name": "IKUKO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101254625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.