Active NPI
Karl H Lagally, DO
- Family Medicine Physician
- Spotsylvania, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102201773
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183516 | Other | VA | ANTHEM SVS & HEALTHKEEPER |
| 313081 | Other | VA | SOUTHERN HEALTH |
| 183516 | Medicaid | VA | |
| 3803459 | Other | VA | CIGNA |
| 010187907 | Medicaid | VA |
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
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
Practice addresses (Care Compare)
9763 Courthouse Rd
Spotsylvania, VA 22553-1915
Phone (540) 786-1200
Hospital & facility affiliations
- Mary Washington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare Family Care, Inc. | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Spotsylvania, VA
- NPI 1780612424
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.