Active NPI
Abiose O Lasaki, MD
- Family Medicine Physician
- Danville, VA
National Provider Identifier
1467477281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P4668
- Practice address
- 130 Enterprise Dr
Danville, VA 24540-4070 - Phone
- (434) 791-2273
- Fax
- (434) 791-2824
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9600005 | NC | |
| Family Medicine Physician | 207Q00000X | 0101053209 | VA | |
| Family Medicine Physician | 207Q00000X | P4668 | TX | Primary |
Addresses
Primary practice location
130 Enterprise Dr
Danville, VA 24540-4070
Mailing address
PO Box 11117
Danville, VA 24543-5019
Phone (434) 228-3620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4668 | TX | MD | Family Medicine Physician |
| 0101053209 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Central Carolina Medical Group LLC | Family Medicine | Current | Accepting new patients |
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients | |
| Piedmont Prime Care | Family Medicine | Current | Accepting new patients |
| DLP Central Carolina Medical Group LLC | Current | Accepting new patients |
Locations
75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731
130 Enterprise Dr
Danville, VA 24540
Phone (434) 791-2273
Interoperability endpoints
- alasaki361131@directhisp.wakemed.org
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.
-
- Urology Physician
- Sanford, NC
- NPI 1184163883
-
- Family Medicine Physician
- Danville, VA
- NPI 1144245887
-
- Family Medicine Physician
- Sanford, NC
- NPI 1215476908
-
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512259200000",
"number": "1467477281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11117",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245435019",
"telephone_number": "434-228-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ENTERPRISE DR",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245404070",
"telephone_number": "434-791-2273",
"fax_number": "434-791-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASAKI",
"first_name": "ABIOSE",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2017-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9600005",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101053209",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P4668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2017; 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.