NPIMap

Individual provider Active NPI

Vasimahmed Lala, DO

  • Internal Medicine Physician
  • Pontiac, MI
National Provider Identifier
1780065508
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5315070192 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 338-5392
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5315070192 MI Primary

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 790-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711003619 CA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 4880909456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Advanced Cardiac and Vascular InterventionsGroup PAC ID 1759649056, 13 clinicians

Practice addresses (Care Compare)

8741 Alden Dr
Suite a
Los Angeles, CA 90048-3692
Phone (310) 652-2744

Hospital & facility affiliations

  • Pearl Home Health Care, Inc. Home health agency, Glendale, CA, CCN 559746
  • Full Life Home Health, Inc. Home health agency, Panorama City, CA, CCN 757973
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
68.97
Promoting interoperability
99
Improvement activities
40
Cost
43.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting77
Pacemaker insertion or repair20
Varicose vein removal408
Leg revascularization (restoring blood flow)147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19207CAMDPsychologist
5315070192MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Cardiac and Vascular Interventions CurrentSince Jul 1, 2022 Accepting new patients
Vasa Anesthesia Professional Corporation Past Accepting new patients

Locations

8741 Alden Dr
Los Angeles, CA 90048
Phone (310) 652-2744

8741 Alden Dr
Ste B
Los Angeles, CA 90048
Phone (951) 556-2665

8741 Alden Dr
Ste A
Los Angeles, CA 90048
Phone (310) 652-2744

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

12441 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (760) 628-2200

12441 Hesperia Rd
Ste A5
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vlala720429@direct.hfhs.org
  • Direct secure messaging: vlala441584@direct.cshs.org

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 6

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1780065508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-790-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "VASIMAHMED",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5315070192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.