Bharti S Lalla, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME061324 Issued in FL

Practice address

14171 Metropolis Ave
202
Fort Myers, FL 33912-4335

Phone

(239) 561-2202

Fax

(239) 561-3099

NPI assigned

Sep 12, 2005

Sex

Female

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 FL

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

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1265426753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14171 METROPOLIS AVE",
            "address_2": "202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124335",
            "telephone_number": "239-561-2202",
            "fax_number": "239-561-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14171 METROPOLIS AVE",
            "address_2": "202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124335",
            "telephone_number": "239-561-2202",
            "fax_number": "239-561-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLA",
        "first_name": "BHARTI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME061324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370593500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28526",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Diabetes Supply, Inc
• Lake Family Counseling, LLC
• James Andrew Lake, LCMFT, SCC-C, DMINN
• Lakshmi Bushan MD PA
• Emily Laliberte
• Sunil N Lalla, MD
• Suying Del Carmen Lam Barriga, MD
• Dat Tan Lam
• Kwong-Tai Lam, ACUPUNCTURIST
• Victor Lam

• Pediatrics Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.