Lakhman L Gondalia, MD

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

4234A Issued in WY

Practice address

6252 Yellowstone Rd
Cheyenne, WY 82009-3432

Phone

(307) 778-2015

Fax

(307) 778-7060

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alpha Family Medicine, Inc.

  • Family Medicine Physician
  • Cheyenne, WY
  • NPI 1215944301
  NPD (past)
• Fort Collins Radiologic Associates PC

  • Diagnostic Radiology Physician
  • Fort Collins, CO
  • NPI 1003849498
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1831171891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093432",
            "telephone_number": "307-778-2015",
            "fax_number": "307-778-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 YELLOWSTONE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093432",
            "telephone_number": "307-778-2015",
            "fax_number": "307-778-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDALIA",
        "first_name": "LAKHMAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "WY",
            "license": "4234A",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NE",
            "license": "19482",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CO",
            "license": "37760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "030005402",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024964200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118095901",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sullivan Thomas Glover, RN
• Kayley Goertzen, MSOT
• Alexandra Paige Goltz, OTR/L
• Gomedi Inc
• Veronica Gomez
• Michelle B Gonyo
• Jasmine Gonzales
• Jose' Porfirio Gonzales
• Rhonda Kay Gonzales
• Erin Marie Gonzalez, RRT

• Allergy & Immunology (Internal Medicine) Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Allergy & Immunology (Internal Medicine) Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.