GUANHUA LAI MD
NPI 1336342971
Pathology - Anatomic Pathology & Clinical Pathology in Richmond, VA

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL STREET, PATHOLOGY, RICHMOND, VA 23298(804) 628-5741(804) 828-9749 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Guanhua Lai Md NPPES

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

GUANHUA LAI MD (NPI 1336342971) is an individual anatomic pathology & clinical pathology provider in Richmond, Virginia, licensed in Virginia (0101245009) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1336342971
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameGUANHUA LAICredential: MD
Location Address1250 E MARSHALL STREET, PATHOLOGYRichmond, VA 23298-0510
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-9749
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 21, 2011
NPI 1336342971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in VA · 0101245009
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 0101245009 (VA)
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License 0101245009 (VA)
1250 E MARSHALL STREET, Richmond, VA 23298

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

Guanhua 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 ID9032397716
PECOS Enrollment IDI20110628000639
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 17

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
151 services42 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
140 services93 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
137 services72 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
114 services82 patients
Bone marrow, smear interpretation 85097
Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
85 services82 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
76 services67 patients

Hospital Affiliations CMS Care Compare

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Radiology (Diagnostic Radiology)
1250 E MARSHALL STREET, RADIOLOGY
RICHMOND, VA 23298
Obstetrics & Gynecology (Gynecology)
1250 E MARSHALL STREET
RICHMOND, VA 23298
Pediatrics (Pediatric Gastroenterology)
1250 E MARSHALL STREET, PEDIATRICS
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL STREET, INTERNAL MEDICINE
RICHMOND, VA 23298
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1250 E MARSHALL STREET, NEUROLOGY
RICHMOND, VA 23298
Neurological Surgery
1250 E MARSHALL STREET, NEUROSURGERY
RICHMOND, VA 23298
Nurse Anesthetist, Certified Registered
1250 E MARSHALL STREET, ANESTHESIA CRNA
RICHMOND, VA 23298
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1250 E MARSHALL STREET
RICHMOND, VA 23298

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 Guanhua Lai's NPI number?

The NPI number for Guanhua Lai is 1336342971. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Guanhua Lai located?

Guanhua Lai practices at 1250 E Marshall Street Pathology, Richmond, VA 23298. The listed phone number is (804) 628-5741.

What is Guanhua Lai's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Guanhua Lai enrolled in Medicare?

Yes. Guanhua 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.

Is Guanhua Lai affiliated with any hospitals?

According to CMS data, Guanhua Lai is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Guanhua Lai was last updated on July 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.