Individual provider Active NPI

Johanna Lasala, MD

  • Hematology & Oncology Physician
  • Orange, CT
National Provider Identifier
1932148848
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
035143 Issued in CT
Practice address
240 Indian River Rd
BLD a Ste 1
Orange, CT 06477-3649
Phone
(203) 795-1664
Fax
(203) 795-1665
NPI assigned
Jun 6, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 035143 CT Primary

Addresses

Primary practice location

240 Indian River Rd
BLD a Ste 1
Orange, CT 06477-3649

Mailing address

240 Indian River Rd
BLD a Ste 1
Orange, CT 06477-3649
Phone (203) 795-1664

Other identifiers 1

IdentifierTypeStateIssuer
001351436MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070601000433 CT Practitioner - Hematology/Oncology 8729986567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Johns Hopkins University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

111 Goose LN
Guilford, CT 06437-5101
Phone (203) 747-7300

1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405

350 Seymour Ave
Suite 6
Derby, CT 06418-1336
Phone (203) 734-1664

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035143CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Nov 8, 2011 Accepting new patients
Yale University CurrentSince Nov 8, 2011 Accepting new patients

Locations

2080 Whitney Ave
Ste 240
Hamden, CT 06518
Phone (203) 238-7747

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

60 Temple St
New Haven, CT 06510
Phone (203) 562-7688

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

240 Indian River Rd
Ste A1
Orange, CT 06477
Phone (203) 795-1664

Interoperability endpoints

  • Direct secure messaging: jlasala3727@direct.ynhh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1932148848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD",
            "address_2": "BLD A STE 1",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773649",
            "telephone_number": "203-795-1664",
            "fax_number": "203-795-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD",
            "address_2": "BLD A STE 1",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773649",
            "telephone_number": "203-795-1664",
            "fax_number": "203-795-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALA",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "035143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001351436",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.