Rajesh Lall, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME107070 Issued in FL

Practice address

3647 Innovation Dr
Lakeland, FL 33812-4106

Phone

(863) 646-5000

Fax

(863) 646-5001

NPI assigned

May 3, 2007

Last updated

Feb 13, 2025By the provider in NPPES

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 names 1

• Dr. Rajesh Polavarapu Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: rajesh.lallmd@direct.mybaycare.org

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.

• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871

  Cardiovascular Disease

  Medicare reassignment NPD
• Lakeland Regional Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1497748743
  Medicare reassignment NPD
• Baycare Medical Group, Inc.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1659720837
  NPD
• Cardiology Associates of Polk County

  • Specialist
  • Lakeland, FL
  • NPI 1861693616
  NPD (past)
• Leading Edge Physical Therapy & Sports, Inc.

  • Physical Therapist
  • Lakeland, FL
  • NPI 1003903261
  NPD (past)
• PHVC Ekg LLC

  • Interventional Cardiology Physician
  • Zephyrhills, FL
  • NPI 1760109946
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1982816922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 INNOVATION DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124106",
            "telephone_number": "863-646-5000",
            "fax_number": "863-646-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 INNOVATION DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124106",
            "telephone_number": "863-646-5000",
            "fax_number": "863-646-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Osprey Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338304347",
            "country_code": "US",
            "telephone_number": "863-733-4385",
            "fax_number": "863-229-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALL",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJESH",
            "last_name": "POLAVARAPU",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yared D Lakew, MD
• Karishma Lakhani, DO
• Raam Satish Lakhani, MD
• Magge Shree Lakshmi, MD
• Gabriella Lalama
• Michael Lam, MD
• Andrew David Lamb, DO
• Aarti Lamba, MD
• Moise Junior Lamour, MD
• Humberto Lamoutte, MD

• Cardiovascular Disease Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.