Individual provider Active NPI

Peter Pingkwong Lai, M.D.

  • Radiation Oncology Physician
  • Vincennes, IN
National Provider Identifier
1629085022
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301077506 Issued in MI
Practice address
520 S 7TH St
Vincennes, IN 47591-1038
Phone
(812) 885-3939
Fax
(812) 885-3974
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 27699 WV
Radiation Oncology Physician 2085R0001X 4301077506 MI Primary

Addresses

Primary practice location

520 S 7TH St
Vincennes, IN 47591-1038

Mailing address

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8888

Other practice location 1

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8888

Other practice location 2

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 285-2220

Other practice location 3

300 North Ave
Battle Creek, MI 49017-3307
Phone (269) 245-8056

Other identifiers 1

IdentifierTypeStateIssuer
320A111090OtherMIBCBS PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120807000104 MI Practitioner - Radiation Oncology 8224016290 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301077506MIMDRadiation Oncology Physician
27699WVMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Feb 17, 2025 Accepting new patients
Dickinson County Healthcare System CurrentSince Mar 1, 2017 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 1, 2013 Accepting new patients
Northeastern Michigan Cancer Center Radiation Oncology CurrentSince Jul 23, 2018 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2023 Accepting new patients
Johnson Family Center for Cancer Care CurrentSince Mar 1, 2025 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2023 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Northeastern Michigan Cancer Center Radiation Oncology CurrentSince Jul 23, 2018 Accepting new patients
Lakeland Medical Practices CurrentSince Aug 1, 2013 Accepting new patients
Mercy Health Partners Past Accepting new patients
CH Allied Services, Inc. Past Accepting new patients
Jennie Edmundson Memorial Hospital Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Compassionate Cancer Care Radiation Diagnostics Group Inc Radiation Oncology Past Accepting new patients
SLH Vista, Inc. Past Accepting new patients
Dickinson County Healthcare System Past Accepting new patients
Stanley S. Roland, D.O., P.C. Past Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1440 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-2008

1440 E Sherman Blvd
Ste 300
Muskegon, MI 49444
Phone (231) 672-2008

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

1234 Napier Ave
#54
Saint Joseph, MI 49085
Phone (269) 983-8888

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: plai@unionhealth.cernerdirect.com
  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: plai4084732@direct.trinity-health.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1629085022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 NAPIER AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852112",
            "telephone_number": "269-983-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-3939",
            "fax_number": "812-885-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Napier Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490852112",
            "country_code": "US",
            "telephone_number": "269-983-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-285-2220",
            "fax_number": "304-285-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 North Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173307",
            "country_code": "US",
            "telephone_number": "269-245-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "PETER",
        "middle_name": "PINGKWONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "27699",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301077506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "320A111090",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.