Individual provider Active NPI

Lavanya V Nagaraj, M.D.

  • Specialist
  • Raleigh, NC
National Provider Identifier
1922074400
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 AssociatesGroup PAC ID 7618941444, 16 clinicians

Practice addresses (Care Compare)

4225 Macon Pond Rd
Suite 300
Raleigh, NC 27607-6320
Phone (919) 781-1050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision70
Removal of skin lesions713
Removal or shaving of skin growth1-10
Skin biopsy250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200301393NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Dermatology Associates CurrentSince Sep 1, 2006 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.

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

Verify at the official NPI Registry.