Active NPI
Lydia Margarita Makapugay
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MDMD25054
- Practice address
- 3495 Hacks Cross Rd
Memphis, TN 38125-8803 - Phone
- (901) 526-7444
- Fax
- (901) 526-0791
- NPI assigned
- Aug 2, 2005
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MDMD25054 | TN | Primary |
Addresses
Primary practice location
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Mailing address
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444
Other practice location 1
150 Collins St
Memphis, TN 38112-3814
Phone (901) 526-7444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116363 | Medicaid | MS | |
| 129023001 | Medicaid | AR | |
| 3093081 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone (501) 664-6980
3050 Corder Dr
Corinth, MS 38834-6210
Phone (662) 284-9902
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDMD25054 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Indianapolis PC | Current | Accepting new patients | |
| Gastroenterology Associates PA | Current | Accepting new patients | |
| Magnolia Gastroenterology Clinic, LLC | Current | Accepting new patients | |
| Magnolia Endoscopy Center, LLC | Past | Accepting new patients |
Locations
455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799
11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980
13179 Collections Ctr D
Chicago, IL 60693
3050 Corder Dr
Corinth, MS 38834
Phone (662) 284-9902
Organizations & group practices 7
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.
-
- Specialist
- Little Rock, AR
- NPI 1851395792
-
- Gastroenterology Physician
- Corinth, MS
- NPI 1518941731
-
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
- NPI 1013759059
-
- Specialist
- Memphis, TN
- NPI 1346271251
-
- Clinical Medical Laboratory
- Memphis, TN
- NPI 1639911688
-
- Anatomic Pathology & Clinical Pathology Physician
- Rolla, MO
- NPI 1053102004
-
- Endoscopy Clinic/Center
- Corinth, MS
- NPI 1740264274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1982605820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258803",
"telephone_number": "901-526-7444",
"fax_number": "901-526-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258803",
"telephone_number": "901-526-7444",
"fax_number": "901-526-0791"
}
],
"practiceLocations": [
{
"address_1": "150 Collins St",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381123814",
"country_code": "US",
"telephone_number": "901-526-7444",
"fax_number": "901-526-0791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKAPUGAY",
"first_name": "LYDIA",
"middle_name": "MARGARITA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "MDMD25054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116363",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129023001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3093081",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.