Active NPI
Robert L Lazo, MD
- Family Medicine Physician
- Rocky Mount, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101052449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005623120 | Medicaid | VA | |
| 005633575 | Medicaid | VA | |
| 010027144 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Rockbridge Community Hospital | Current | 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
- robert.lazo.1@14425.direct.athenahealth.com
- 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.
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1174636021
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.