Laleh Rezaei, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01048835A Issued in IN

Practice address

1425 State St
Suite 100
New Albany, IN 47150-4909

Phone

(812) 945-2229

Fax

(812) 949-2229

NPI assigned

Sep 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: lrezaei8485@bhkydirect.com

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.

• Complete Pediatrics and Specialty Care

  • Pediatrics Physician
  • New Albany, IN
  • NPI 1902469034
  NPD (past) Authorized official

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1356337372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STATE ST",
            "address_2": "SUITE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504909",
            "telephone_number": "812-945-2229",
            "fax_number": "812-949-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STATE ST",
            "address_2": "SUITE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504909",
            "telephone_number": "812-945-2229",
            "fax_number": "812-949-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAEI",
        "first_name": "LALEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01048835A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200193210A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "351708493",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resource Anesthesiology Associates of Indiana, LLC
• Restoring Wellness Counseling, LLC
• Reynolds Family Eye Care, LLC
• Ashley Reynolds, RBT
• Jennifer Reynolds, OD
• Daniel Alan Ribeiro, PSY.D.
• Richard P Gardner MD PSC
• Nathan Boone Richards, M.D.
• Courtney Roan Richardson-Young, MS. CCC-SLP
• Samantha Richardson, M.ED., BCBA

• Pediatrics Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.