Individual provider Active NPI

Roel Manaloto Laygo, MD

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1265471122
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40133 Issued in GA
Practice address
4451 Paulsen St
Savannah, GA 31405-3664
Phone
(912) 350-7500
Fax
(912) 350-7735
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40133 GA Primary

Addresses

Primary practice location

4451 Paulsen St
Savannah, GA 31405-3664

Mailing address

4451 Paulsen St
Savannah, GA 31405-3664
Phone (912) 350-7500

Other identifiers 5

IdentifierTypeStateIssuer
10065826OtherGAAMERIGROUP
349794OtherGAWELLCARE
000656774BMedicaidGA
080164732OtherGARR MEDICARE
G40133MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlaygo49703@epicsav.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20091229000274 GA Practitioner - Internal Medicine 9739262528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Primary Care Associates LLCGroup PAC ID 4688935760, 36 clinicians

Practice addresses (Care Compare)

101 W Mulberry Blvd
Suite 100
Savannah, GA 31407-3507
Phone (912) 826-8800

3780 US Hwy 17
Richmond Hill, GA 31324-3378
Phone (912) 756-2292

500 Mosaic Cir
Suite 340
Pooler, GA 31322-1611
Phone (912) 350-6000

6602 Waters Ave
BLDG a
Savannah, GA 31406-2778
Phone (912) 897-3766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40133GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Primary Care Associates, LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients

Locations

4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500

101 W Mulberry Blvd
Ste 100
Savannah, GA 31407
Phone (912) 350-6000

1107 E 66th St
Savannah, GA 31404
Phone (912) 350-8404

6602 Waters Ave
Bldg A
Savannah, GA 31406
Phone (912) 350-6000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

Hospital & facility affiliations 7

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1265471122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053664",
            "telephone_number": "912-350-7500",
            "fax_number": "912-350-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053664",
            "telephone_number": "912-350-7500",
            "fax_number": "912-350-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYGO",
        "first_name": "ROEL",
        "middle_name": "MANALOTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "40133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10065826",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "349794",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000656774B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080164732",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G40133",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlaygo49703@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4451 Paulsen St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314053664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.