LAILA ROSHANALI LALANI MD
NPI 1265591564
Internal Medicine in Chambersburg, PA

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
112 N 7TH ST, CHAMBERSBURG, PA 17201(717) 217-4300(717) 217-4399 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2022, Mar 26, 2018, Jun 9, 2017 and 3 more (6 updates tracked since 2017).

About Laila Roshanali Lalani Md NPPES

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

LAILA ROSHANALI LALANI MD (NPI 1265591564) is an individual internal medicine provider in Chambersburg, Pennsylvania, licensed in Maryland (D75628) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and maintains a secondary practice location in Randallstown.

NPPES Registry Identity

NPI1265591564
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAILA ROSHANALI LALANICredential: MD
Location Address112 N 7TH STChambersburg, PA 17201-1720
Mailing Address785 5th Ave, Suite 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 217-4218
Fax(717) 217-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 24, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1265591564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D75628 Licensed in FL · ME96714 Licensed in PA · MD438298
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.
Also ListedHospitalistTaxonomy 208M00000X · License MD438298 (PA)
112 N 7TH ST, Chambersburg, PA 17201

Secondary Practice Location 1

Location 15401 Old Court RdRandallstown, MD 21133-5103 · Phone (410) 701-4502 · Fax (410) 496-7669

Other Identifiers 3

Other95398FL · Bcbs - Fl
OtherP00471699FL · Rr Medicare
OtherMD438298PA · Pa Medical License

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

Laila Roshanali Lalani 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 ID9931295250
PECOS Enrollment IDI20090730000450, I20091203000007, I20130528000213, I20141006000100
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.
330 services322 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%44 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
112 N 7TH ST
CHAMBERSBURG, PA 17201
Physical Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Occupational Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Occupational Therapy Assistant
112 N 7TH ST, CHAMBERSBURG HOSPITAL - PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Emergency Medicine
112 N 7TH ST
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
112 N 7TH ST
CHAMBERSBURG, PA 17201
Physical Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Physical Therapy Assistant
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201

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 Laila Lalani's NPI number?

The NPI number for Laila Lalani is 1265591564. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Laila Lalani located?

Laila Lalani practices at 112 N 7th St, Chambersburg, PA 17201. The listed phone number is (717) 217-4300.

What is Laila Lalani's specialty?

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

Is Laila Lalani enrolled in Medicare?

Yes. Laila Lalani 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.

Is Laila Lalani affiliated with any hospitals?

According to CMS data, Laila Lalani is affiliated with Medstar Saint Mary's Hospital, Medstar Southern Maryland Hospital Center, Heritage Valley Beaver, Lewisgale Medical Center and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Laila Lalani was last updated on February 24, 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.