Individual provider Active NPI

Laurie Lynn Lavery, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Richmond, VA
National Provider Identifier
1275507402
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101243925 Issued in VA
Practice address
6315A Jahnke Rd
Richmond, VA 23225-4142
Phone
(562) 677-2414
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101243925 VA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101243925 VA Primary

Addresses

Primary practice location

6315A Jahnke Rd
Richmond, VA 23225-4142

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (562) 677-2414

Other practice location 1

532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone (724) 850-6957

Other identifiers 1

IdentifierTypeStateIssuer
1275507402MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, OH, DC, TX, OK, MD7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050624000588 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2769427251 Reassigns benefits to 1 organization
I20080716000706 VA Practitioner - HospitalistPractitioner - Geriatric MedicinePractitioner - Internal Medicine 2769427251 Reassigns benefits to 1 organization
I20230914002950 OH Practitioner - Internal Medicine 2769427251 Reassigns benefits to 1 organization
I20240722001867 DC Practitioner - Internal Medicine 2769427251 Reassigns benefits to 2 organizations
I20241014004423 TX Practitioner - Internal Medicine 2769427251 Reassigns benefits to 1 organization
I20241025002615 OK Practitioner - Internal Medicine 2769427251 Reassigns benefits to 1 organization
I20250918001226 MD Practitioner - Internal Medicine 2769427251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, shared by 2 NPIs, 706 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

101 Harris Rd
Kilmarnock, VA 22482-3880
Phone (240) 686-2300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-0150

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-1017

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5125

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101243925VAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc CurrentSince Aug 24, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Sep 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. Current Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Jul 22, 2023 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Oct 16, 2024 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Primedoc of Richmond PC Internal Medicine Past Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

Interoperability endpoints

  • Direct secure messaging: llavery@direct.excelahealth.org

Organizations & group practices 13

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.

View all 13

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1275507402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-677-2414",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315A JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254142",
            "telephone_number": "562-677-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 W Pittsburgh St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012239",
            "country_code": "US",
            "telephone_number": "724-850-6957",
            "fax_number": "724-830-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERY",
        "first_name": "LAURIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101243925",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101243925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275507402",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.