RANDALA R LAKKIS M.D.
NPI 1235226663
Pediatrics - Pediatric Nephrology in Fairfax, VA

Q: What is Randala Lakkis's NPI number?

The NPI number for Randala Lakkis is 1235226663. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Randala Lakkis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Randala Lakkis was last updated on November 27, 2023. 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.

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment

3023 HAMAKER CT STE 600, FAIRFAX, VA 22031(703) 876-2788(703) 839-8763 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Oct 15, 2020 (2 updates tracked since 2020).

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About Randala R Lakkis M.d. NPPES

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

RANDALA R LAKKIS M.D. (NPI 1235226663) is an individual pediatric nephrology provider in Fairfax, Virginia, licensed in Virginia (0101238274) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2002).

NPPES Registry Identity

NPI1235226663

Entity TypeIndividualFemale

Primary Taxonomy2080P0210X

Provider Legal NameRANDALA R LAKKISCredential: M.D.

Location Address3023 HAMAKER CT STE 600Fairfax, VA 22031-2241

Mailing Address3023 Hamaker Ct Ste 600Fairfax, VA 22031-2241 · (703) 876-2788 · Fax (703) 839-8763

Phone(703) 876-2788

Fax(703) 839-8763

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002

Enumeration DateOctober 6, 2006

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 19, 2020

✔ NPI 1235226663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in VA · 0101238274

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

3023 HAMAKER CT STE 600, Fairfax, VA 22031

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Secondary Practice Location 1

Location 11250 E Marshall St, PediatricsRichmond, VA 23298-5051 · Phone (804) 628-7337 · Fax (804) 827-1771

Other Identifiers 1

Medicaid277144600FL

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

Randala R Lakkis M.d. 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 ID8527225499

PECOS Enrollment IDI20130802000581

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.

Other Providers at the Same Location NPPES 16

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

NEDA KASHANIAN D.T.

Dietitian, Registered