Individual provider Active NPI

Dustin Lash, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Dothan, AL
National Provider Identifier
1639305246
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO.1478 Issued in AL
Practice address
2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917
Phone
(334) 239-0063
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X P0845 TX
Family Medicine Physician 207Q00000X P0845 TX
Sports Medicine (Family Medicine) Physician 207QS0010X DO.1478 AL Primary

Addresses

Primary practice location

2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917

Mailing address

2800 Ross Clark Cir Ste 2
Dothan, AL 36301-9917
Phone (334) 239-0063

Other identifiers 2

IdentifierTypeStateIssuer
169149MedicaidAL
511-58601OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150410000881 AL Practitioner - Sports Medicine 9830417427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2800 Ross Clark Cir
Suite 2
Dothan, AL 36301-9917
Phone (480) 262-5758

Hospital & facility affiliations

  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

Merit-based Incentive Payment System (MIPS)

Final score
13.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.45

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0845TXMDFamily Medicine Physician
DO.1478ALMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S.B.J.S. PC CurrentSince Mar 2, 2015 Accepting new patients
Lash Orthospine and Sports LLC Sports Medicine CurrentSince Aug 17, 2023 Accepting new patients
SBJS PC Sports Medicine CurrentSince Mar 2, 2015 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663

2800 Ross Clark Cir
Ste 2
Dothan, AL 36301
Phone (334) 305-1848

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1639305246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363019917",
            "telephone_number": "334-239-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363019917",
            "telephone_number": "334-239-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASH",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P0845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0845",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "DO.1478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169149",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "511-58601",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.