Individual provider Active NPI

Ralph A Lanza, MD

  • Internal Medicine Physician
  • Paoli, PA
National Provider Identifier
1285601039
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-039693-E Issued in PA
Practice address
255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301-1755
Phone
(610) 644-9456
Fax
(610) 644-5203
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 MD-039693-E PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301-1755

Mailing address

255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301-1755
Phone (610) 644-9456

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ralphlanza@gvma.allscriptsdirect.net

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
I20101007000254 PA Practitioner - Internal Medicine 5799977849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Great Valley Medical Associates, PCGroup PAC ID 3072588433, 5 clinicians

Practice addresses (Care Compare)

222 Post Rd
Suite E
Fairfield, CT 06824-6245
Phone (203) 255-8888

255 W Lancaster Ave
Mob 2 Suite 120
Paoli, PA 19301-1755
Phone (610) 644-9456

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-039693-EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Valley Medical Associates, PC Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients

Locations

255 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-9456

Interoperability endpoints

  • Direct secure messaging: ralphlanza@gvma.allscriptsdirect.net
  • Direct secure messaging: ralph.a.lanza@directaddress.net

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 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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1285601039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE MOB 2 STE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011755",
            "telephone_number": "610-644-9456",
            "fax_number": "610-644-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE MOB 2 STE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011755",
            "telephone_number": "610-644-9456",
            "fax_number": "610-644-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA",
        "first_name": "RALPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-039693-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralphlanza@gvma.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "255 W Lancaster Ave MOB 2 Ste 120",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.