Active NPI
Malinda J Lasater, DO
- Family Medicine Physician
- Goshen, IN
National Provider Identifier
1952662777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02004317A
- Practice address
- 2824 Elkhart Rd Ste a
Goshen, IN 46526-1014 - Phone
- (574) 535-1700
- Fax
- (574) 535-1799
- NPI assigned
- Jun 7, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02004317A | IN | Primary |
Addresses
Primary practice location
2824 Elkhart Rd Ste a
Goshen, IN 46526-1014
Mailing address
2824 Elkhart Rd Ste a
Goshen, IN 46526-1014
Other practice location 1
1953 Waterfall Dr Ste A
Nappanee, IN 46550-8961
Phone (574) 773-4101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201105370 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malinda.lasater@goshenhealthdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | malinda.lasater@goshenhealthdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Main St
Goshen, IN 46526-4723
Phone (574) 364-2875
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004317A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Hospital Association Inc | Current | Accepting new patients |
Locations
1953 Waterfall Dr
Ste A
Nappanee, IN 46550
Phone (574) 773-4101
Interoperability endpoints
- malinda.lasater@goshenhealthdirect.com
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.
-
- Family Medicine Physician
- Goshen, IN
- NPI 1194772293
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1952662777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 ELKHART RD STE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465261014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 ELKHART RD STE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465261014",
"telephone_number": "574-535-1700",
"fax_number": "574-535-1799"
}
],
"practiceLocations": [
{
"address_1": "1953 Waterfall Dr Ste A",
"address_purpose": "LOCATION",
"city": "Nappanee",
"state": "IN",
"postal_code": "465508961",
"country_code": "US",
"telephone_number": "574-773-4101",
"fax_number": "574-773-5483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASATER",
"first_name": "MALINDA",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02004317A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201105370",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malinda.lasater@goshenhealthdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2824 Elkhart Rd Ste A",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465261014",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malinda.lasater@goshenhealthdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1953 Waterfall Dr Ste A",
"city": "Nappanee",
"state": "IN",
"country_code": "US",
"postal_code": "465508961",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.