Individual provider Active NPI

Abiose O Lasaki, MD

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1467477281
Registry record updated Dec 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4668 Issued in TX
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

Updated by the provider on Dec 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903000101 NC Practitioner - Family Practice 2264566256 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4668TXMDFamily Medicine Physician
0101053209VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince May 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.