Lalitha Gurijala, MD037420-L

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD037420-L Issued in PA

Practice address

1098 W. Baltimore Pike
Op Pavilion, Suite 3311
Media, PA 19063

Phone

(610) 892-9982

Fax

(610) 565-1425

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Prospect Health Access Network, Inc.

  • Gynecologic Oncology Physician
  • Chester, PA
  • NPI 1134574775
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1457343949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W. BALTIMORE PIKE",
            "address_2": "OP PAVILION, SUITE 3311",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-892-9982",
            "fax_number": "610-565-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W. BALTIMORE PIKE",
            "address_2": "OP PAVILION, SUITE 3311",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-892-9982",
            "fax_number": "610-565-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURIJALA",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "MD037420-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037420-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roque Guerzon, MD
• Nicholas Joseph Guido, MD
• Theresa Lynn Gulla, OCCUPATIONAL THERAPY
• Brooke Gundrum, RBT
• Renu Gupta, MD
• Vidyasagar R Gurijala, M.D.
• Lauren Gutierrez
• H&R Consultation Partners (Thriveworks Counseling)
• David K Hadley, MD
• Elizabeth Haftl, M.S. CCC-SLP

• Specialist in Media, PA
• Providers in Media, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.