DR. LARA MAMIKONIAN MD
NPI 1154337954
Pediatrics - Pediatric Critical Care Medicine in Norfolk, VA

Q: What is Lara Mamikonian's NPI number?

The NPI number for Lara Mamikonian is 1154337954. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Lara Mamikonian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Lara Mamikonian was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 01, 2006PECOS Enrolled

601 CHILDREN'S LANE, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, NORFOLK, VA 23502(585) 905-9377 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Feb 20, 2019 (2 updates tracked since 2019).

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About Dr. Lara Mamikonian Md NPPES

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

DR. LARA MAMIKONIAN MD (NPI 1154337954) is an individual pediatric critical care medicine provider in Norfolk, Virginia, licensed in Virginia (0101251975) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154337954

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. LARA MAMIKONIANCredential: MD

Location Address601 CHILDREN'S LANE, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERSNorfolk, VA 23502

Mailing Address601 Children's Lane, Children's Hospital Of The King's DaughtersNorfolk, VA 23502 · (585) 905-9377

Phone(585) 905-9377

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration

✔ NPI 1154337954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in VA · 0101251975

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101251975 (VA)

Also ListedPediatricsTaxonomy 208000000X · License 2009-00675 (NC)

601 CHILDREN'S LANE, Norfolk, VA 23502

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lara Mamikonian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Lara Mamikonian's NPI number?

The NPI number for Lara Mamikonian is 1154337954. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Lara Mamikonian located?

Lara Mamikonian practices at 601 Children's Lane Children's Hospital Of The King's Daughters, Norfolk, VA 23502. The listed phone number is (585) 905-9377.

What is Lara Mamikonian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Lara Mamikonian enrolled in Medicare?

Yes. Lara Mamikonian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Mamikonian was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.