Ted T Lai, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01059160 Issued in IN

Practice address

509 Sheridan Rd
Noblesville, IN 46060-1317

Phone

(317) 678-6402

Fax

(317) 678-6408

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Indiana University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Vibrant Vitality Medical Wellness Center PCGroup PAC ID 6002106093, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
• Direct secure messaging: ted.lai.1@31937.direct.athenahealth.com

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.

• Unity Healthcare, LLC

  • Clinic/Center
  • Lafayette, IN
  • NPI 1619929098

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Vibrant Vitality Medical Wellness Center PC

  dba Noblesville Urgent Care

  • General Practice Physician
  • Noblesville, IN
  • NPI 1265891279
  Medicare reassignment Care Compare group NPD
• Unity Healthcare LLC

  dba Lafayette Vein and Vascular

  • Vascular Surgery Physician
  • Lafayette, IN
  • NPI 1427759182
  NPD
• Unity Healthcare, LLC

  dba Unity Immediate Care Center

  • Urgent Care Clinic/Center
  • Lafayette, IN
  • NPI 1417141144
  NPD
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1982691671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SHERIDAN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601317",
            "telephone_number": "317-678-6402",
            "fax_number": "317-678-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SHERIDAN RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601317",
            "telephone_number": "317-678-6402",
            "fax_number": "317-678-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "TED",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I18282",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LEGACY PI",
            "identifier": "201338640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Anne Kuckartz, R.D, C.D.
• Oksana Colleen Kurka, PA-C
• Lori Kwitny, PTA
• Audrey Kyle, DDS
• Jason Castro Lafuente, PT, CEAS
• Lakeview Eye Physicians, P.C.
• Nikki Sanders Land, RPH
• Jaclyn Lang, LMHC
• Elizabeth Lanning
• Jeremy P Lareau, LSW

• Family Medicine Physician in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.

Verify at the official NPI Registry.