Individual provider Active NPI

Neeta Lal, MD

  • Neurology Physician
  • Centerville, UT
National Provider Identifier
1316252802
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9833871-1205 Issued in UT
Practice address
520 N Market Place Dr Ste 200
Centerville, UT 84014-4904
Phone
(801) 934-3373
Fax
(801) 934-3373
NPI assigned
Aug 10, 2010
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2010017371 MO
Neurology Physician 2084N0400X 9833871-1205 UT Primary

Addresses

Primary practice location

520 N Market Place Dr Ste 200
Centerville, UT 84014-4904

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20160926000512 UT Practitioner - Neurology 9335378835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Davis Psychological ServicesGroup PAC ID 0446511927, 17 clinicians

Practice addresses (Care Compare)

520 N Market Place Dr
Suite 200
Centerville, UT 84014-4904
Phone (801) 934-3373

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurorev PLLC CurrentSince Jan 1, 2025 Accepting new patients
South Davis Psychological Services CurrentSince Jan 1, 2025 Accepting new patients
Prospect Health Access Network, Inc. PastSince Jan 26, 2016 Accepting new patients

Locations

185 S 400 E
Ste 100
Bountiful, UT 84010
Phone (801) 292-5070

520 N Market Place Dr
Ste 200
Centerville, UT 84014
Phone (801) 243-6822

1544 Woodland Park Dr
Ste 320
Layton, UT 84041
Phone (801) 556-4751

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1316252802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-507-9800",
            "fax_number": "801-934-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MARKET PLACE DR STE 200",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840144904",
            "telephone_number": "801-934-3373",
            "fax_number": "801-934-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "NEETA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2010017371",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "9833871-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

Verify at the official NPI Registry.