Individual provider Active NPI

John Louis Lanham, MD

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1790746139
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101034331 Issued in VA
Practice address
912 E High St Ste B
Charlottesville, VA 22902-4866
Phone
(434) 293-9797
Fax
(434) 293-3379
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101034331 VA Primary

Addresses

Primary practice location

912 E High St Ste B
Charlottesville, VA 22902-4866

Mailing address

912 E High St Ste B
Charlottesville, VA 22902-4866
Phone (434) 293-9797

Other identifiers 2

IdentifierTypeStateIssuer
080011326OtherVAMEDICARE RAILROAD
5630193MedicaidVA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080320000585 VA Practitioner - Family Practice 2466538186 Practice locations: Charlottesville, VA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

912 E High St
Charlottesville, VA 22902-4866
Phone (434) 293-9797

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Charlottesville, VA, CCN 497019
  • Interim Healthcare - Charlottesville Home health agency, Charlottesville, VA, CCN 497447
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David S Witmer MD PC PastSince Aug 20, 2007 Accepting new patients

Organizations & group practices 1

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 4

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1790746139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E HIGH ST STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024866",
            "telephone_number": "434-293-9797",
            "fax_number": "434-293-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E HIGH ST STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024866",
            "telephone_number": "434-293-9797",
            "fax_number": "434-293-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101034331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080011326",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630193",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.