Lakshmi T Kishore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101-045788 Issued in VA

Practice address

2900 Lamb Cir
Suite 320
Christiansburg, VA 24073-6344

Phone

(540) 731-3222

Fax

(540) 732-3060

NPI assigned

Nov 29, 2005

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Free Clinic of the New River Valley Inc

  dba Giles Clinic

  • Federally Qualified Health Center (FQHC)
  • Pearisburg, VA
  • NPI 1306273149
  Medicare reassignment NPD (past)
• Free Clinic of the New River Valley Inc

  dba Montgomery Clinic

  • Federally Qualified Health Center (FQHC)
  • Christiansburg, VA
  • NPI 1043648611
  Medicare reassignment
• Free Clinic of the New River Valley Inc.

  dba Pulaski Radford Clinic

  • Federally Qualified Health Center (FQHC)
  • Dublin, VA
  • NPI 1548706609
  Medicare reassignment
• Carilion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Blacksburg, VA
  • NPI 1407667256
  NPD (past)
• Carilion Healthcare Corporation

  dba Bridgewater College Student Health Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1447206370
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1740263383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W ROCK RD",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241413356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR",
            "address_2": "SUITE 320",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-3222",
            "fax_number": "540-732-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHORE",
        "first_name": "LAKSHMI",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-045788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010147778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William W King, MD
• Suud Kiradoh, MD
• Robyn Victoria Kirby, D.C.
• Lisa Lynn Kirkner
• Anand T Kishore, MD
• Lauren Kitts, CRNA
• Lori M Klein, SLP
• Tracy Kletzing, PA
• Victoria Klostermann, CRNA
• Paul Thomas Knackstedt

• Internal Medicine Physician in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.

Verify at the official NPI Registry.