Active NPI
John A Lach Jr., MD
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1285691824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18965
- Practice address
- 2355 Poplar Level Rd
Ste. 200-a
Louisville, KY 40217-1395 - Phone
- (502) 636-7444
- Fax
- (502) 636-7340
- NPI assigned
- Apr 27, 2006
- Last updated
- Nov 12, 2014
- 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 | 18965 | KY | Primary |
Addresses
Primary practice location
2355 Poplar Level Rd
Ste. 200-a
Louisville, KY 40217-1395
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1172253 | Other | KY | CHA / NCMA |
| 040448 | Other | KY | SIHO / NCMA |
| 50004497 | Other | KY | PASSPORT / NCMA |
| 000028412E | Other | KY | HUMANA / NCMA |
| 200482450 | Medicaid | IN | |
| 2445859000 | Other | KY | PASSPORT ADVANTAGE / NCMA |
| 2525824 | Other | KY | CIGNA / NCMA |
| P00145996 | Other | KY | MCR - RR |
| 000000327110 | Other | KY | ANTHEM / NMCA |
| 64189657 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18965 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family Medicine | Past | 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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1285691824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 POPLAR LEVEL RD",
"address_2": "STE. 200-A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171395",
"telephone_number": "502-636-7444",
"fax_number": "502-636-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACH",
"first_name": "JOHN",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "18965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA / NCMA",
"identifier": "1172253",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO / NCMA",
"identifier": "040448",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT / NCMA",
"identifier": "50004497",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA / NCMA",
"identifier": "000028412E",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200482450",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE / NCMA",
"identifier": "2445859000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / NCMA",
"identifier": "2525824",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR - RR",
"identifier": "P00145996",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM / NMCA",
"identifier": "000000327110",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64189657",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.