Individual provider Active NPI

Miguel A Lalama, MD

  • Gastroenterology Physician
  • Owensboro, KY
National Provider Identifier
1669793683
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
51452 Issued in KY
Practice address
3112 Fairview Dr
Owensboro, KY 42303
Phone
(270) 922-2500
Fax
(270) 922-2505
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 51452 KY Primary
Internal Medicine Physician 207R00000X 51452 KY

Addresses

Primary practice location

3112 Fairview Dr
Owensboro, KY 42303

Mailing address

3112 Fairview Dr
Owensboro, KY 42303
Phone (270) 922-2500

Other practice location 1

1301 Pleasant Valley Rd Ste 401
Owensboro, KY 42303
Phone (270) 922-2500

Other identifiers 1

IdentifierTypeStateIssuer
7100546600MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address landmarkgi@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180829003646 KY Practitioner - GastroenterologyPractitioner - Internal Medicine 1254504756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

3112 Fairview Dr
Owensboro, KY 42303-2175
Phone (270) 922-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy281
Upper gastrointestinal (GI) endoscopy for acid reflux459

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Digestive Health PSC Gastroenterology CurrentSince Jun 15, 2021 Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

2851 New Hartford Rd
#A
Owensboro, KY 42303
Phone (270) 240-2305

3112 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2129

Interoperability endpoints

  • Direct secure messaging: mlalama89511@direct.owensborohealth.org

Organizations & group practices 3

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 4

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1669793683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-922-2500",
            "fax_number": "270-922-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-922-2500",
            "fax_number": "270-922-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pleasant Valley Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "42303",
            "country_code": "US",
            "telephone_number": "270-922-2500",
            "fax_number": "270-417-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALAMA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "51452",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "51452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100546600",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "landmarkgi@directaddress.net",
            "affiliation": "N",
            "address_1": "2851 New Hartford Rd Ste A",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.