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NEHA HYDERALI LALANI M.D
NPI 1669812343
Internal Medicine - Endocrinology, Diabetes & Metabolism in Petersburg, VA

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
49.88/100
CMS Quality Rating
50 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805(804) 765-5901(804) 765-5919 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2020, Sep 27, 2019, Sep 7, 2018 (3 updates tracked since 2018).

About Neha Hyderali Lalani M.d NPPES

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

NEHA HYDERALI LALANI M.D (NPI 1669812343) is an individual endocrinology, diabetes & metabolism provider in Petersburg, Virginia, licensed in Virginia (0101264701) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with North Austin Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1669812343
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNEHA HYDERALI LALANICredential: M.D
Location Address50 MEDICAL PARK BLVD STE APetersburg, VA 23805-9275
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 765-5901 · Fax (804) 765-5919
Phone(804) 765-5901
Fax(804) 765-5919
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 26, 2013
Last NPPES UpdateFebruary 6, 20203 updates tracked since enumeration
✔ NPI 1669812343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in VA · 0101264701
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
50 MEDICAL PARK BLVD STE A, Petersburg, VA 23805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

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

Neha Hyderali Lalani 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 ID5698060960
PECOS Enrollment IDI20221003001491
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 4

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.

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.
50 services36 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.
47 services47 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.
45 services27 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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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.

49.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.54
Improvement Activities0
Cost52.22

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers149 claims366 services$6.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers57 claims70 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers13 claims13 services$300.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers310 claims310 services$183.67 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers11 claims11 services$178.78 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 3

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

DR. CLIFTON ALLEN HAWKES M.D.
Internal Medicine (Infectious Disease)
50 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 765-6766
DR. RAISA GHOSH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
50 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 765-5901
DR. GWENDOLIN VAKENA TANGHAM M.D
Internal Medicine (Infectious Disease)
50 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 765-6766

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 Neha Lalani's NPI number?

The NPI number for Neha Lalani is 1669812343. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Neha Lalani located?

Neha Lalani practices at 50 Medical Park Blvd Ste A, Petersburg, VA 23805. The listed phone number is (804) 765-5901.

What is Neha Lalani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Neha Lalani enrolled in Medicare?

Yes. Neha 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.

What insurance does Neha Lalani accept?

Health plans from WellPoint list Neha Lalani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Neha Lalani affiliated with any hospitals?

According to CMS data, Neha Lalani is affiliated with North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Neha Lalani was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.