Individual provider Active NPI

Tracie Lee Lanter, M.D.

  • Internal Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1376604496
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
VA010152759 Issued in VA
Practice address
5530 Wisconsin Ave Ste 1445
Chevy Chase, MD 20815-4302
Phone
(301) 634-1345
Fax
(240) 330-4275
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X VA010152759 VA Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1445
Chevy Chase, MD 20815-4302

Mailing address

1515 Chain Bridge Rd
#312
McLean, VA 22101-4451
Phone (703) 356-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120109000350 DC Practitioner - Internal Medicine 4981870243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value in Prevention of Maryland, LLCGroup PAC ID 5193089472, 3 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 1445
Chevy Chase, MD 20815-4302
Phone (301) 634-1345

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
65.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VA010152759VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value in Prevention of Maryland, LLC Internal Medicine CurrentSince Mar 26, 2018 Accepting new patients
Alexandria Internal Medicine,LTD Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1445
Chevy Chase, MD 20815
Phone (301) 634-1345

Interoperability endpoints

  • Direct secure messaging: tracie.lanter.1@13924.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1376604496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD",
            "address_2": "#312",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221014451",
            "telephone_number": "703-356-0600",
            "fax_number": "703-821-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1445",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "301-634-1345",
            "fax_number": "240-330-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTER",
        "first_name": "TRACIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "VA010152759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.