DONALD MANG-SUM LAI MD
NPI 1093797557
Internal Medicine - Cardiovascular Disease in Pleasanton, CA

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
5565 W LAS POSITAS BLVD STE 150, PLEASANTON, CA 94588(925) 534-6880 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald Mang-sum Lai Md NPPES

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

DONALD MANG-SUM LAI MD (NPI 1093797557) is an individual cardiovascular disease provider in Pleasanton, California, licensed in California (G54833) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1982).

NPPES Registry Identity

NPI1093797557
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDONALD MANG-SUM LAICredential: MD
Location Address5565 W LAS POSITAS BLVD STE 150Pleasanton, CA 94588-5805
Mailing Address5565 W Las Positas Blvd Ste 150Pleasanton, CA 94588-5805 · (925) 534-6880
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1982
Enumeration DateNovember 18, 2005
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1093797557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · G54833
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License G54833 (CA)
5565 W LAS POSITAS BLVD STE 150, Pleasanton, CA 94588

Other Identifiers 1

Medicaid00G548330CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donald Mang-sum Lai Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698857498
PECOS Enrollment IDI20080530000571
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,165 services759 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,125 services472 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
183 services176 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
131 services117 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
118 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
5565 W LAS POSITAS BLVD STE 150
PLEASANTON, CA 94588
Internal Medicine (Cardiovascular Disease)
5565 W LAS POSITAS BLVD STE 150
PLEASANTON, CA 94588
Internal Medicine (Cardiovascular Disease)
5565 W LAS POSITAS BLVD STE 150
PLEASANTON, CA 94588
Physician Assistant
5565 W LAS POSITAS BLVD STE 150
PLEASANTON, CA 94588
Internal Medicine (Cardiovascular Disease)
5565 W LAS POSITAS BLVD STE 150
PLEASANTON, CA 94588
Physician Assistant
5565 W LAS POSITAS BLVD STE 150
PLEASANTON, CA 94588

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 Donald Lai's NPI number?

The NPI number for Donald Lai is 1093797557. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Donald Lai located?

Donald Lai practices at 5565 W Las Positas Blvd Ste 150, Pleasanton, CA 94588. The listed phone number is (925) 534-6880.

What is Donald Lai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Donald Lai enrolled in Medicare?

Yes. Donald Lai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Donald Lai was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.