ADRIAN LAI MD
NPI 1215390620
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Encinitas, CA

Q: What is Adrian Lai's NPI number?

The NPI number for Adrian Lai is 1215390620. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Adrian Lai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Adrian Lai was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 01, 2016PECOS EnrolledAccepts Medicare Assignment

354 SANTA FE DR, ENCINITAS, CA 92024(760) 230-2551 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2019, Apr 1, 2016 (2 updates tracked since 2016).

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About Adrian Lai Md NPPES

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

ADRIAN LAI MD (NPI 1215390620) is an individual advanced heart failure and transplant cardiology provider in Encinitas, California, licensed in California (A151841) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2016).

NPPES Registry Identity

NPI1215390620

Entity TypeIndividualMale

Primary Taxonomy207RA0001X

Provider Legal NameADRIAN LAICredential: MD

Location Address354 SANTA FE DREncinitas, CA 92024-5142

Mailing Address402 Dickinson St, Suite 380San Diego, CA 92103-6902

Phone(760) 230-2551

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2016

Enumeration DateApril 1, 2016

Last NPPES UpdateMay 29, 20192 updates tracked since enumeration

✔ NPI 1215390620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in CA · A151841

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

354 SANTA FE DR, Encinitas, CA 92024

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Secondary Practice Location 1

Location 1402 Dickinson St, Suite 380San Diego, CA 92103-6902 · Phone (619) 543-2896

Other Identifiers 1

Medicaid1215390620CA

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

Adrian 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 ID8123351756

PECOS Enrollment IDI20190612003877

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

367 services351 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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.

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