Individual provider Active NPI

Randhir A Lal, DPM

  • Podiatrist
  • Palm Beach Gardens, FL
National Provider Identifier
1306806567
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3175 Issued in FL
Practice address
5216 Misty Morn Rd
Palm Beach Gardens, FL 33418-7824
Phone
(561) 586-8313
Fax
(561) 323-4999
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3175 FL Primary

Addresses

Primary practice location

5216 Misty Morn Rd
Palm Beach Gardens, FL 33418-7824

Mailing address

5216 Misty Morn Rd
Palm Beach Gardens, FL 33418-7824
Phone (561) 586-8313

Other identifiers 1

IdentifierTypeStateIssuer
340615600MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3175FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Practice Partners 007 LLC Podiatrist Past Accepting new patients
Laser Foot Care Center Inc Podiatrist Past Accepting new patients
R a M Medical Inc Podiatrist PastSince Mar 11, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17776/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1306806567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 MISTY MORN RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187824",
            "telephone_number": "561-586-8313",
            "fax_number": "561-323-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 MISTY MORN RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187824",
            "telephone_number": "561-586-8313",
            "fax_number": "561-323-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "RANDHIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340615600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.