Individual provider Active NPI

Lani Ackerman, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1780696401
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HO308 Issued in TX
Practice address
5055 Medical Cir
Houston, TX 77204-4372
Phone
(979) 575-7708
NPI assigned
Aug 12, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01078989A IN
Family Medicine Physician 207Q00000X MEDS7478 AK
Family Medicine Physician 207Q00000X HO308 TX Primary

Addresses

Primary practice location

5055 Medical Cir
Houston, TX 77204-4372

Mailing address

5302 Riviera CT
College Station, TX 77845-4156
Phone (979) 575-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MEDS7478AKMDFamily Medicine Physician
HO308TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center Family Medicine Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients
Scott & White Clinic Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lackerman305112@ecommunitydirect.com
  • Direct secure messaging: lani.ackerman.1@17081.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1780696401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 RIVIERA CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454156",
            "telephone_number": "979-575-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 MEDICAL CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772044372",
            "telephone_number": "979-575-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "LANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01078989A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "MEDS7478",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "HO308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.