Individual provider Active NPI

Hana M Laznickova, M.D.

  • Allergy & Immunology Physician
  • Lexington, MA
National Provider Identifier
1740324987
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
155111 Issued in MA
Practice address
16 Clarke St
Lexington, MA 02421-4988
Phone
(781) 861-2049
Fax
(781) 861-1502
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 155111 MA Primary
Allergy Physician 207KA0200X 155111 MA
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 155111 MA

Addresses

Primary practice location

16 Clarke St
Lexington, MA 02421-4988

Mailing address

16 Clarke St
Lexington, MA 02421-4988
Phone (781) 861-2049

Other identifiers 4

IdentifierTypeStateIssuer
51340OtherMAFALLON
AA11049OtherMAHARVARD PILGRIM
J22438OtherMABLUE CROSS BLUE SHIELD
155111OtherMAMA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260209003066 MA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2163908807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 Clarke St
Suite 22
Lexington, MA 02421-4938

16 Clarke St
Suite 22
Lexington, MA 02421-4948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155111MAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Clinic, P.C. CurrentSince Feb 4, 2004 Accepting new patients
Allergy & Asthma Specialists, LLC Allergy & Immunology Past Accepting new patients

Locations

16 Clarke St
Lexington, MA 02421
Phone (781) 402-2442

16 Clarke St
Ste 22
Lexington, MA 02421
Phone (781) 861-2049

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1740324987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLARKE ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214988",
            "telephone_number": "781-861-2049",
            "fax_number": "781-861-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CLARKE ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214988",
            "telephone_number": "781-861-2049",
            "fax_number": "781-861-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZNICKOVA",
        "first_name": "HANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "155111",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "155111",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MA",
            "license": "155111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "51340",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA11049",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J22438",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE",
            "identifier": "155111",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.