RAYCONDA INTERNAL MEDICINE
NPI 1053338947
Internal Medicine in Fayetteville, NC

Active since July 16, 2006CLIA 34D0968313 · Waiver
6977 NEXUS COURT, SUITE 101, FAYETTEVILLE, NC 28304(910) 864-7933(910) 864-3180 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rayconda Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYCONDA INTERNAL MEDICINE (NPI 1053338947) is a healthcare organization registered as an internal medicine in Fayetteville, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Jagdish Lal, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1053338947
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJAGDISH LAL MD PA
Location Address6977 NEXUS COURT, SUITE 101Fayetteville, NC 28304-2651
Mailing AddressPo Box 25217Fayetteville, NC 28314 · (910) 864-7933 · Fax (910) 864-3180
Fax(910) 864-3180
Organization SubpartNo
Authorized OfficialJagdish LalOwner Physician · (910) 864-7933
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 28, 2010
✔ NPI 1053338947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 9900578
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6977 NEXUS COURT, Fayetteville, NC 28304

Other Names 1

Doing Business AsRayconda Internal Medicine

Other Identifiers 7

Medicare UPING26816
Medicare PIN2274618A
Medicaid8912136NC
Other12136Bcbs
Other084806830Tricare
Other0438753Uhc
Medicare PIN2326252NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rayconda Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rayconda Internal Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1083802763
6977 NEXUS CT STE. # 101
Fayetteville, NC 28304
(910) 864-7933
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0968313

Rayconda Internal Medicine · Fayetteville, NC
Active · expires Dec 7, 2027
CLIA Number34D0968313
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorJagdish Lal MD
Laboratory Phone(910) 864-7933
Laboratory LocationRayconda Internal Medicine6958 Nexus Court Ste 101, Fayetteville, NC 28304
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jagdish Lal MD PA's NPI number?

The NPI number for Jagdish Lal MD PA is 1053338947. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Rayconda Internal Medicine.

Where is Jagdish Lal MD PA located?

Jagdish Lal MD PA is located at 6977 Nexus Court Suite 101, Fayetteville, NC 28304. The listed phone number is (910) 864-7933.

What is Jagdish Lal MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jagdish Lal MD PA enrolled in Medicare?

Yes. Jagdish Lal MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jagdish Lal MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jagdish Lal MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jagdish Lal MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0968313) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jagdish Lal MD PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Jagdish Lal MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jagdish Lal MD PA was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.