Individual provider Active NPI

Diwakar V Lingam, M.D.

  • Hospitalist Physician
  • Roseville, CA
National Provider Identifier
1952324311
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
17114 Issued in NH
Practice address
2 Medical Plaza Dr Ste 175
Roseville, CA 95661-3049
Phone
(603) 653-3305
NPI assigned
Jul 26, 2006
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 002662 NY
Hospitalist Physician 208M00000X 002662 NY
Hospitalist Physician 208M00000X 17114 NH Primary

Addresses

Primary practice location

2 Medical Plaza Dr Ste 175
Roseville, CA 95661-3049

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 653-3305

Other identifiers 2

IdentifierTypeStateIssuer
02792556MedicaidNY
P01124268OtherNYRR MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200330003724 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2961420591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roseville Cardiology Medical Associates, Inc.Group PAC ID 4688566573, 6 clinicians

Practice addresses (Care Compare)

2 Medical Plaza Dr
Suite 175
Roseville, CA 95661-3049
Phone (916) 782-2146

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002662NYMDMental Health Counselor
200499LAMDContractor
17114NHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Cardiology Medical Associates, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Hospital Medicine Group Inc Internal Medicine Past Accepting new patients
Sutter Regional Medical Foundation Internal Medicine Past Accepting new patients
Samaritan Medical Center Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

11971 Heritage Oak Pl
Ste 78
Auburn, CA 95603
Phone (916) 782-2146

2 Medical Plaza Dr
Ste 175
Roseville, CA 95661
Phone (916) 782-2146

Interoperability endpoints

  • Direct secure messaging: dlingam10233@direct.sjhsyr.org
  • Direct secure messaging: dlingam545145@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1952324311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR STE 175",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613049",
            "telephone_number": "603-653-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGAM",
        "first_name": "DIWAKAR",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "002662",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "002662",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "17114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02792556",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01124268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.