Lakshmi Kona, MD
Individual provider Active NPI Internal Medicine Physician · Hanscom Afb, MA
NPI 1790749398 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1790749398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 223032 (MA)
- Practice address
- 1609 Eglin St
Hanscom Afb, MA 01731-2613 - Phone
- (781) 863-0102
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
220 E Hacienda Ave
Campbell, CA 95008-6617
Phone (408) 871-6500
Hospital & facility affiliations
- Kaiser Foundation Hospital Hospice-Santa Clara
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161230001621 | CA | Practitioner - Internal Medicine | 5395795090 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Winchester Physician Associates | Internal Medicine | Past | Accepting new patients |
| Steward Medical Group, Inc | Past |
Accepting new patients | |
| Winchester Physician Associates, Inc | Internal Medicine | Past | Accepting new patients |
| Caritas St. Elizabeth'S Medical Center | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
220 E Hacienda Ave
Campbell, CA 95008
Phone (408) 236-6400
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 223032 | MA | Yes |
Addresses
Primary practice location
1609 Eglin St
Hanscom Afb, MA 01731-2613
Mailing address
77 Warren St
RM 339
Brighton, MA 02135-3601
Phone (617) 562-5359
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099390 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Hanscom Afb, MA
- Bryan Russell Katz
- Alina Cheyne Kelley
- Ashley Kelton
- Kylee Kerns
- John Ian Kesler
- Julie L Martin
- Heather Kristen Mazzaccaro
- Jessica Lynn Nick
- Matthew Robert Nicoli
- Mark Stephen Oordt
All providers in Hanscom Afb, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.