Individual provider Active NPI

Lydia Margarita Makapugay

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
National Provider Identifier
1982605820
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MDMD25054 Issued in TN
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

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0116363MedicaidMS
129023001MedicaidAR
3093081MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040624000277 TN Practitioner - Pathology 1759366529 Reassigns benefits to 2 organizations
I20190605002511 AR Practitioner - Pathology 1759366529 Reassigns benefits to 1 organization
I20240325003900 MS Practitioner - Pathology 1759366529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates PAGroup PAC ID 5698687101, 31 clinicians
Magnolia Gastroenterology Clinic LLCGroup PAC ID 6800844507, 5 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDMD25054TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameripath Indianapolis PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 30, 2024 Accepting new patients
Ameripath Indianapolis PC Anatomic Pathology & Clinical Pathology CurrentSince Sep 30, 2024 Accepting new patients
Ameripath Indianapolis PC Current Accepting new patients
Gastroenterology Associates PA CurrentSince Jan 1, 2025 Accepting new patients
Magnolia Gastroenterology Clinic, LLC CurrentSince Mar 1, 2024 Accepting new patients
Magnolia Endoscopy Center, LLC PastSince Mar 1, 2024 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.

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

Verify at the official NPI Registry.