Organization Active NPI

Lotus Health Services

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1376847863
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01289 Issued in MD
Legal business name
LOTUS HEALTH SERVICES
Practice address
178 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4493
Phone
(301) 951-9000
Fax
(240) 831-5001
NPI assigned
Dec 27, 2010
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Ms. Prabha Thomas
Title
Office Manager
Phone
(301) 951-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01289 MD Primary

Addresses

Primary practice location

178 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4493

Mailing address

178 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4493
Phone (301) 951-9000

Other identifiers 2

IdentifierTypeStateIssuer
Q989OtherDCCARE FIRST DC
D9GGGDOtherMDCAREFIRST MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103000616 MD Part B Supplier - Clinic/Group Practice 3072894112 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1376847863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024493",
            "telephone_number": "301-951-9000",
            "fax_number": "240-831-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024493",
            "telephone_number": "301-951-9000",
            "fax_number": "240-831-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PRABHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-951-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST DC",
            "identifier": "Q989",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "D9GGGD",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.