Organization Active NPI

Lotus Med LLC

  • Health Maintenance Organization
  • Ayer, MA
National Provider Identifier
1447201140
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
156202 Issued in MA
Legal business name
LOTUS MED LLC
Practice address
190 Groton Rd
Suite 290
Ayer, MA 01432-1124
Phone
(978) 772-1277
Fax
(978) 772-1577
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Asha Naidu, MDNPI 1669447579
Title
Sole Owner
Phone
(978) 772-1277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 156202 MA Primary

Addresses

Primary practice location

190 Groton Rd
Suite 290
Ayer, MA 01432-1124

Mailing address

190 Groton Road
Suite 290
Ayer, MA 01432
Phone (978) 772-1277

Other identifiers 1

IdentifierTypeStateIssuer
3204928MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060717000347 MA Part B Supplier - Clinic/Group Practice 9931112984 Receives reassigned benefits from 1 practitioner
Practice locations: Ayer, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1052017Lotus Med LLC190 Groton Road Suite 290, Ayer, MA 01432Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6507/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1447201140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GROTON ROAD",
            "address_2": "SUITE 290",
            "city": "AYER",
            "state": "MA",
            "postal_code": "01432",
            "telephone_number": "978-772-1277",
            "fax_number": "978-772-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 290",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-1277",
            "fax_number": "978-772-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "978-772-1277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "156202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3204928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.