Individual provider Active NPI

Karl H Lagally, DO

  • Family Medicine Physician
  • Spotsylvania, VA
National Provider Identifier
1720035918
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201773 Issued in VA
Practice address
9763 Courthouse Rd
Spotsylvania, VA 22553-1915
Phone
(540) 786-1200
Fax
(540) 710-2752
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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 0102201773 VA Primary

Addresses

Primary practice location

9763 Courthouse Rd
Spotsylvania, VA 22553-1915

Mailing address

9763 Courthouse Rd
Spotsylvania, VA 22553-1915
Phone (540) 786-1200

Other identifiers 5

IdentifierTypeStateIssuer
183516OtherVAANTHEM SVS & HEALTHKEEPER
313081OtherVASOUTHERN HEALTH
183516MedicaidVA
3803459OtherVACIGNA
010187907MedicaidVA

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
I20051102000526 VA Practitioner - Family Practice 6800813494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care Family Care, Inc.Group PAC ID 7618959750, 14 clinicians

Practice addresses (Care Compare)

9763 Courthouse Rd
Spotsylvania, VA 22553-1915
Phone (540) 786-1200

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Family Care, Inc. Family Medicine CurrentSince Aug 21, 2007 Accepting new patients
Martha Jefferson Hospital Past Accepting new patients

Locations

2511 Salem Church Rd
Fredericksburg, VA 22407
Phone (340) 786-1200

9763 Courthouse Rd
Spotsylvania, VA 22553
Phone (540) 786-1200

Organizations & group practices 2

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 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1720035918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9763 COURTHOUSE RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531915",
            "telephone_number": "540-786-1200",
            "fax_number": "540-710-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9763 COURTHOUSE RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531915",
            "telephone_number": "540-786-1200",
            "fax_number": "540-710-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGALLY",
        "first_name": "KARL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SVS & HEALTHKEEPER",
            "identifier": "183516",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "313081",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183516",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3803459",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010187907",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

Verify at the official NPI Registry.