Active NPI
Lakshmi Ganti Goudar, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Norfolk, VA
National Provider Identifier
1639346455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101247175
- Practice address
- 850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920 - Phone
- (757) 261-4121
- NPI assigned
- May 12, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 141516 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0101247175 | VA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101247175 | VA | Primary |
Addresses
Primary practice location
850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920
Mailing address
850 Kempsville Rd Ste 100E
Norfolk, VA 23502-3920
Phone (757) 261-4121
Other names 1
- Murty Ganti Goudar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Endocrinology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
850 Kempsville Rd
Suite 100E
Norfolk, VA 23502-3920
Phone (757) 261-5744
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
- Sentara Princess Anne Hospital
- Bon Secours Maryview Medical Center
- Sentara Virginia Beach General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141516 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients |
Locations
850 Kempsville Rd
Ste L100E
Norfolk, VA 23502
850 Kempsville Rd
Ste 100E
Norfolk, VA 23502
Phone (757) 261-5744
850 Kempsville Rd
#100E
Norfolk, VA 23502
Phone (757) 261-5744
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Interoperability endpoints
- lgoudar20064@direct.sentara.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1639346455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 KEMPSVILLE RD STE 100E",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023920",
"telephone_number": "757-261-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KEMPSVILLE RD STE 100E",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023920",
"telephone_number": "757-261-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUDAR",
"first_name": "LAKSHMI",
"middle_name": "GANTI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "141516",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0101247175",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101247175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MURTY",
"last_name": "GOUDAR",
"middle_name": "GANTI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.