Active NPI
Thomas F Lahr, M.D.
- Family Medicine Physician
- Martinsville, IN
National Provider Identifier
1285648790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01059470A
- Practice address
- 1609 Burton LN
Martinsville, IN 46151-3004 - Phone
- (765) 315-0126
- Fax
- (765) 315-0151
- NPI assigned
- Jul 28, 2006
- Last updated
- Nov 2, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01059470A | IN | Primary |
Addresses
Primary practice location
1609 Burton LN
Martinsville, IN 46151-3004
Mailing address
1609 Burton LN
Martinsville, IN 46151-3004
Phone (765) 315-0126
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200092590 | Other | IN | MEDICAID GROUP |
| 200488320 | Medicaid | IN | |
| 1033110564 | Other | GROUP NPI # | |
| 563420X | Other | IN | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190722000117 | IN | Order and Referring Only - Family Practice | 7416955828 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059470A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health 1St Physical Rehabilitation | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1285648790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 BURTON LN",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461513004",
"telephone_number": "765-315-0126",
"fax_number": "765-315-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 BURTON LN",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461513004",
"telephone_number": "765-315-0126",
"fax_number": "765-315-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAHR",
"first_name": "THOMAS",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01059470A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "200092590",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200488320",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI #",
"identifier": "1033110564",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "563420X",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.