Individual provider Active NPI

Robert L Lazo, MD

  • Family Medicine Physician
  • Rocky Mount, VA
National Provider Identifier
1689659401
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101052449 Issued in VA
Practice address
390 S Main St Ste 201
Rocky Mount, VA 24151-1767
Phone
(540) 484-4800
Fax
(540) 484-4847
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101052449 VA Primary

Addresses

Primary practice location

390 S Main St Ste 201
Rocky Mount, VA 24151-1767

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other practice location 1

199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Phone (276) 236-5181

Other identifiers 3

IdentifierTypeStateIssuer
005623120MedicaidVA
005633575MedicaidVA
010027144MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlazo19139@direct.carilionclinic.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000314 VA Practitioner - Family Practice 6305742149 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince Nov 7, 2022 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Nov 7, 2022 Accepting new patients

Locations

548 Blue Ridge Ave
Bedford, VA 24523
Phone (540) 345-0486

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

416 S Main St
Ste A
Hillsville, VA 24343
Phone (540) 728-7731

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

390 S Main St
Ste 201
Rocky Mount, VA 24151
Phone (540) 484-4800

Interoperability endpoints

  • Direct secure messaging: robert.lazo.1@14425.direct.athenahealth.com
  • Direct secure messaging: rlazo19139@direct.carilionclinic.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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1689659401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S MAIN ST STE 201",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511767",
            "telephone_number": "540-484-4800",
            "fax_number": "540-484-4847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Hospital Dr",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243332454",
            "country_code": "US",
            "telephone_number": "276-236-5181",
            "fax_number": "276-236-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005623120",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005633575",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010027144",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlazo19139@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "199 Hospital Dr",
            "address_2": "Suite 7",
            "city": "Galax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243332454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.