Individual provider Active NPI

Jay Michael Lang, D.O.

  • Cardiovascular Disease Physician
  • Bel Air, MD
National Provider Identifier
1659374932
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H0044463 Issued in MD
Practice address
520 Upper Chesapeake Dr
Suite 201
Bel Air, MD 21014-4339
Phone
(443) 643-3800
Fax
(443) 643-3856
NPI assigned
May 31, 2005
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H0044463 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Suite 201
Bel Air, MD 21014-4339

Mailing address

520 Upper Chesapeake Dr
Suite 201
Bel Air, MD 21014-4339
Phone (443) 643-3800

Other identifiers 1

IdentifierTypeStateIssuer
242821100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070924000219 MD Practitioner - Cardiovascular Disease (Cardiology) 4183678378 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0044463MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Cardiology Associates Inc Cardiovascular Disease CurrentSince Jul 1, 1995 Accepting new patients
Upper Chesapeake Cardiology, LLC Cardiovascular Disease CurrentSince Jan 1, 2009 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 201
Bel Air, MD 21014
Phone (410) 893-3122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1659374932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 201",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-3800",
            "fax_number": "443-643-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 201",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-3800",
            "fax_number": "443-643-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "H0044463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242821100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.