Individual provider Active NPI

Naveen Lal, M.D.

  • Cardiovascular Disease Physician
  • Fort Wayne, IN
National Provider Identifier
1770692337
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01050563A Issued in IN
Practice address
604 W Berry St
Fort Wayne, IN 46802-2106
Phone
(260) 423-1331
Fax
(260) 422-1046
NPI assigned
Aug 29, 2006
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01050563A IN Primary
Interventional Cardiology Physician 207RI0011X 01050563A IN
Nuclear Cardiology Physician 207UN0901X 01050563A IN

Addresses

Primary practice location

604 W Berry St
Fort Wayne, IN 46802-2106

Mailing address

604 W Berry St
Fort Wayne, IN 46802-2106
Phone (260) 423-1331

Other practice location 1

2120 N Detroit St
LaGrange, IN 46761-1147
Phone (260) 469-2468

Other practice location 2

10020 DuPont Circle Ct Ste 140
Fort Wayne, IN 46825-1621
Phone (260) 489-4100

Other practice location 3

424 Williams St
Angola, IN 46703-1556
Phone (260) 665-2926

Other identifiers 1

IdentifierTypeStateIssuer
200237610AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address naveen.lal@acc.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120113000776 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 9830260462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease, Vascular Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen County Cardiology, LLCGroup PAC ID 9133290752, 3 clinicians

Practice addresses (Care Compare)

10020 Dupont Circle CT
Suite 140
Fort Wayne, IN 46825-1621
Phone (260) 489-4100

2120 N Detroit St
Allen County Cardiology
La Grange, IN 46761-1147
Phone (260) 469-2468

424 Williams St
Allen County Cardiology
Angola, IN 46703-1556
Phone (260) 665-2926

604 W Berry St
Fort Wayne, IN 46802-2106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as individual
Quality
79.92
Improvement activities
40
Cost
90.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allen County Cardiology LLC Cardiovascular Disease CurrentSince Jul 30, 1999 Accepting new patients
American Vein Institute LLC PastSince Jan 1, 2017 Accepting new patients

Locations

424 Williams St
Angola, IN 46703
Phone (260) 665-2926

10020 DuPont Circle Ct
Ste 140
Fort Wayne, IN 46825
Phone (260) 418-2427

604 W Berry St
Fort Wayne, IN 46802
Phone (219) 423-1331

2120 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2468

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72187
  • Direct secure messaging: naveen.lal@acc.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1770692337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W BERRY ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022106",
            "telephone_number": "260-423-1331",
            "fax_number": "260-422-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W BERRY ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022106",
            "telephone_number": "260-423-1331",
            "fax_number": "260-422-1046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 N Detroit St",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467611147",
            "country_code": "US",
            "telephone_number": "260-469-2468",
            "fax_number": "260-463-4237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10020 DuPont Circle Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251621",
            "country_code": "US",
            "telephone_number": "260-489-4100",
            "fax_number": "260-489-4188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Williams St",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467031556",
            "country_code": "US",
            "telephone_number": "260-665-2926",
            "fax_number": "260-668-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "NAVEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01050563A",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01050563A",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IN",
            "license": "01050563A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200237610A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "naveen.lal@acc.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "604 W Berry St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468022106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.