Active NPI
Lavanya V Nagaraj, M.D.
- Specialist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3225 Blue Ridge Rd
Suite 101
Raleigh, NC 27612-8060 - Phone
- (919) 781-1050
- Fax
- (919) 510-5090
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Primary |
Addresses
Primary practice location
3225 Blue Ridge Rd
Suite 101
Raleigh, NC 27612-8060
Mailing address
3225 Blue Ridge Rd
Suite 101
Raleigh, NC 27612-8060
Phone (919) 781-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061122000322 | NC | Practitioner - Dermatology | 9032117205 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Dermatology Associates
Practice addresses (Care Compare)
4225 Macon Pond Rd
Suite 300
Raleigh, NC 27607-6320
Phone (919) 781-1050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 70 |
| Removal of skin lesions | 713 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200301393 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Dermatology Associates | Current | Accepting new patients | |
| Skin Surgery Center PA | Past | Accepting new patients |
Locations
1110 SE Cary Pkwy
Ste 100
Cary, NC 27518
Phone (919) 781-1050
4225 Macon Pond Rd
Ste 300
Raleigh, NC 27607
Phone (919) 781-1050
3225 Blue Ridge Rd
Ste 101
Raleigh, NC 27612
Phone (919) 781-1050
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.
-
- Dermatology Physician
- Winston Salem, NC
- NPI 1649237082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1922074400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 BLUE RIDGE RD",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128060",
"telephone_number": "919-781-1050",
"fax_number": "919-510-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 BLUE RIDGE RD",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128060",
"telephone_number": "919-781-1050",
"fax_number": "919-510-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGARAJ",
"first_name": "LAVANYA",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.