Active NPI
Wallace I Lai I, MD
- Clinical Cardiac Electrophysiology Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD17813
- Practice address
- 2480 Liberty St NE
Suite 110
Salem, OR 97301-8380 - Phone
- (503) 371-1756
- Fax
- (503) 584-7971
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD17813 | OR | Primary |
Addresses
Primary practice location
2480 Liberty St NE
Suite 110
Salem, OR 97301-8380
Mailing address
2480 Liberty St NE
Suite 110
Salem, OR 97301-8380
Phone (503) 371-1756
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060060218 | Other | OR | RAILROAD MEDICARE |
| 100009591 | Medicaid | OR | |
| 288256 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Oregon Health Sciences University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 Hawthorne Ave SE
Suite 110
Salem, OR 97301-5378
Phone (503) 814-4440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.49 of 100
- Quality
- 76.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17813 | OR | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Oregon Heart Center PC | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Salem Cardiology Arrhythmia Division, P.C. | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
| Salem Health | Past | Accepting new patients | |
| Salem Health West Valley | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
364 SE 8th Ave
Ste 301
Hillsboro, OR 97123
Phone (503) 681-4233
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
875 Oak St SE
Ste 3090
Salem, OR 97301
Phone (503) 561-8550
875 Oak St SE
Ste 3060
Salem, OR 97301
Phone (503) 561-5170
610 Hawthorne Ave SE
Ste 110
Salem, OR 97301
Phone (503) 561-7160
875 Oak St SE
Ste 5040
Salem, OR 97301
Phone (503) 561-7170
Interoperability endpoints
- wlai3563087@oc.providencedirect.org
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Salem, OR
- NPI 1902138969
-
dba Hillsboro Medical Center
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
-
- Clinical Cardiac Electrophysiology Physician
- Salem, OR
- NPI 1013959493
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
dba THC Based Physicians
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1336228659
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1578503249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LIBERTY ST NE",
"address_2": "SUITE 110",
"city": "SALEM",
"state": "OR",
"postal_code": "973018380",
"telephone_number": "503-371-1756",
"fax_number": "503-584-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LIBERTY ST NE",
"address_2": "SUITE 110",
"city": "SALEM",
"state": "OR",
"postal_code": "973018380",
"telephone_number": "503-371-1756",
"fax_number": "503-584-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "WALLACE",
"middle_name": "I",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OR",
"license": "MD17813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060060218",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100009591",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288256",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.
- 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.