Individual provider Active NPI

Lela Lankerani, D.O.

  • Dermatology Physician
  • Marble Falls, TX
National Provider Identifier
1710159140
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P9627 Issued in TX
Practice address
800 S US Highway 281
Marble Falls, TX 78654-9703
Phone
(830) 693-4800
Fax
(830) 626-9031
NPI assigned
Mar 26, 2008
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P9627 TX Primary

Addresses

Primary practice location

800 S US Highway 281
Marble Falls, TX 78654-9703

Mailing address

800 S US Highway 281
Marble Falls, TX 78654-9703
Phone (830) 693-4800

Other identifiers 1

IdentifierTypeStateIssuer
8EH451OtherTXBCBS PROVIDER RECORD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250718002411 MI Practitioner - Dermatology 8921159740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Osteopathy, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Institute of West Michigan PLCGroup PAC ID 5092044487, 9 clinicians

Practice addresses (Care Compare)

1661 Crystal Springs Blvd SE
Caledonia, MI 49316-7478
Phone (616) 326-0114

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions641
Removal or shaving of skin growth1-10
Skin biopsy128

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Institute of West Michigan PLC Dermatology CurrentSince Sep 2, 2025 Accepting new patients
Westlake Dermatology PA Dermatology Past Accepting new patients
Cardiovascular Research Associates PA Past Accepting new patients

Locations

1661 Crystal Springs Blvd SE
Caledonia, MI 49316
Phone (616) 326-0114

311 W Mitchell St
Petoskey, MI 49770
Phone (231) 224-6361

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00097

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, 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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1710159140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S US HIGHWAY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786549703",
            "telephone_number": "830-693-4800",
            "fax_number": "830-310-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S US HIGHWAY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786549703",
            "telephone_number": "830-693-4800",
            "fax_number": "830-626-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKERANI",
        "first_name": "LELA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P9627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER RECORD ID",
            "identifier": "8EH451",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.