LO AN NHU LAI MD
NPI 1205875523
Internal Medicine in Baltimore, MD

Q: What is Lo An Lai's NPI number?

The NPI number for Lo An Lai is 1205875523. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Lo An Lai's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lo An Lai was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 05, 2006PECOS EnrolledAccepts Medicare Assignment

61.68/100

CMS Quality Rating

4924 CAMPBELL BLVD, SUITE 125, BALTIMORE, MD 21236(443) 461-1997(443) 461-1998 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Lo An Nhu Lai Md NPPES

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

LO AN NHU LAI MD (NPI 1205875523) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0062201) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1205875523

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLO AN NHU LAICredential: MD

Location Address4924 CAMPBELL BLVD, SUITE 125Baltimore, MD 21236-5908

Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700

Phone(443) 461-1997

Fax(443) 461-1998

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1994

Enumeration DateJune 5, 2006

Last NPPES UpdateFebruary 17, 2022

NPPES CertifiedFebruary 17, 2022

✔ NPI 1205875523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0062201

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.

4924 CAMPBELL BLVD, Baltimore, MD 21236

Open in Google Maps ↗

Other Identifiers 5

Other20047178MD · Amerihealth Mercy Health

Medicaid406555700MD

Other60050001MD · Dc Blue Cross

Other489PR160Md Medicare

Other60059303MD · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lo An Nhu 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 ID7517923006

PECOS Enrollment IDI20041207000234, I20090416000094

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.

Medicare Billing Reassignments

Medicare enrollment records show Lo An Lai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

10 mi

Health Maintenance Organization

3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009

Reassigned Medicare billing, Maryland enrollment
1,253 clinicians in this Medicare group

NPI 1265971873 (410) 515-5440

Upper Chesapeake Emergency Medicine Physicians, LLC

12 mi

Emergency Medicine

520 UPPER CHESAPEAKE DR
Bel Air, MD 21014

Reassigned Medicare billing, Maryland enrollment
130 clinicians in this Medicare group

NPI 1285854026 (240) 529-1457

Patient First Maryland Medical Group PLLC

40 mi

Family Medicine

8206 GEORGIA AVE
Silver Spring, MD 20910

Reassigned Medicare billing, District of Columbia and Maryland enrollments
Also billed through NPI 1205087517 (Maryland)
184 clinicians in this Medicare group

NPI 1265866503 (301) 960-4682

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

Areas of Expertise CMS Part B claims 28

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.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

156 services155 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

155 services152 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.

121 services120 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

101 services100 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

93 services92 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

80 services80 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

62 services62 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

58 services29 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

56 services14 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

53 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

49 services49 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

44 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

34 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services31 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

28 services24 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

27 services27 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.

27 services27 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

27 services27 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services17 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

15 services15 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

15 services15 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

15 services15 patients

X-ray series of abdomen with single x-ray of chest 74022

An X-ray series of the abdomen and a single X-ray of the chest are imaging tests. They help doctors view the structures within your abdomen and chest. These tests can detect issues like blockages, infections, or tumors. You'll be positioned carefully, and the machine captures images.

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

12 services11 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.98

Promoting Interoperability

Improvement Activities

Cost

72.62

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers14 claims14 services$51.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MISS DANIELLE R. NORTH PA-C

Physician Assistant

4924 CAMPBELL BLVD, SUITE 200
NOTTINGHAM, MD 21236

Baltimore County (443) 442-2300

NAOMI P CUTLER M.D.

Internal Medicine

4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236

Baltimore County (443) 442-2300

MR. DAVID S SANDLER PAC

Physician Assistant (Medical)

4924 CAMPBELL BLVD
WHITE MARSH, MD 21236

Baltimore County (443) 442-2300

DEBRAHE K. ROWLAND AG-ACNP-BC

Nurse Practitioner (Acute Care)

4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236

Baltimore County (443) 442-2300

WHITE MARSH PHARMACY

Pharmacy (Community/Retail Pharmacy)

4924 CAMPBELL BLVD, STE 120
NOTTINGHAM, MD 21236

Baltimore County (443) 384-2500

JOHNS HOPKINS UNIVERSITY

Internal Medicine

4924 CAMPBELL BLVD
BALTIMORE, MD 21236

Baltimore County (443) 442-2401

DR. TIGIST HAILU M.D.

Internal Medicine (Cardiovascular Disease)

4924 CAMPBELL BLVD, STE 110
BALTIMORE, MD 21236

Baltimore County (443) 442-2000

DR. HANNAH MARIE VACA DPT

Physical Therapist

4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236

Baltimore County (410) 955-5000

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 Lo An Lai's NPI number?

The NPI number for Lo An Lai is 1205875523. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Lo An Lai located?

Lo An Lai practices at 4924 Campbell Blvd Suite 125, Baltimore, MD 21236. The listed phone number is (443) 461-1997.

What is Lo An Lai's specialty?

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

Is Lo An Lai enrolled in Medicare?

Yes. Lo An 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.

Which organizations bill Medicare for Lo An Lai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lo An Lai reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD), Upper Chesapeake Emergency Medicine Physicians, LLC (Bel Air, MD) and Patient First Maryland Medical Group PLLC (Silver Spring, MD). Each 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 Lo An Lai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lo An Lai was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.