LASYA GAUR MD
NPI 1689904625
Pediatrics - Pediatric Cardiology in Baltimore, MD

NPI Status: Active since January 13, 2010

Contact Information

1800 ORLEANS STREET
CHILDRENS CTR M2307
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-5987
Fax: (410) 955-0897

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  • Individual
  • Female
  • Years of Experience 19
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LASYA GAUR

This page provides the complete NPI Profile along with additional information for Lasya Gaur, a pediatrician established in Baltimore, Maryland with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 19 years of experience. She graduated from University Of Wisconsin School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1689904625 assigned on January 2010. The practitioner's primary taxonomy code is 2080P0202X with license number D78387 (MD). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1689904625
Provider Name
LASYA GAUR MD
Gender
Female
Entity Type
Individual
Location Address
1800 ORLEANS STREET CHILDRENS CTR M2307 BALTIMORE, MD 21287
Location Phone
(410) 955-5987
Location Fax
(410) 955-0897
Mailing Address
9910 FRANKLIN SQUARE DR STE 2110 BALTIMORE, MD 21236
Mailing Phone
(410) 933-6423
Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
01-13-2010
Last Update Date
10-20-2019
Code Navigator

A pediatrician like Lasya Gaur is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
D78387
License State
MD
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

MT190421 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lasya Gaur is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lasya Gaur is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2466672910

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230505002417

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LASYA GAUR MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689904625
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169180864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 0 + 8 + 6 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1689904625 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. NANHI MITTER M.D.

Anesthesiology

1800 ORLEANS STREET
ZAYED 6208
BALTIMORE, MD
ZIP 21287

(410) 955-7519

DR. ELAD JACOBY M.D.

Student in an Organized Health Care Education/Training Program

1800 ORLEANS STREET
THE BLOOMBERG CHILDREN'S CENTER, ROM 11379
BALTIMORE, MD
ZIP 21287

(410) 955-8751

KRISTEN JOHNSON MD

Pediatrics

1800 ORLEANS STREET
BALTIMORE, MD
ZIP 21287

(571) 235-6524

KAREN E. SEYMOUR PH.D.

Psychologist

(Clinical Child & Adolescent)

1800 ORLEANS STREET
CHILD & ADOLESCENT PSYCHIATRY BLOOMBERG CHILDREN'S CENT
BALTIMORE, MD
ZIP 21287

(410) 955-2330

DR. JOEL PRICE MD, MPH

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1800 ORLEANS STREET
SUITE 7107
BALTIMORE, MD
ZIP 21287

(410) 955-9780

EUGENIE HEITMILLER M.D.

Anesthesiology

(Pediatric Anesthesiology)

1800 ORLEANS STREET
JOHNS HOPKINS HOSPITAL
BALTIMORE, MD
ZIP 21287

(410) 614-1162

DR. DEEPA KATTAIL M.D.

Anesthesiology

1800 ORLEANS STREET
ROOM 6349H
BALTIMORE, MD
ZIP 21287

(410) 955-3865

MACKENZIE BOWMAN RD, LDN

Dietitian, Registered

1800 ORLEANS STREET
BALTIMORE, MD
ZIP 21287

(410) 955-1637

MR. JACOB HOLDEN YATES PA-C

Physician Assistant

1800 ORLEANS STREET
BALTIMORE, MD
ZIP 21287

(410) 955-5000

MRS. JORDAN NAHAS-VIGON M.D.

Internal Medicine

1800 ORLEANS STREET
THE JOHNS HOPKINS HOSPITAL
BALTIMORE, MD
ZIP 21287

(410) 955-7911

KENDRA TOWLES CRNA

Nurse Anesthetist, Certified Registered

1800 ORLEANS STREET
BLALOCK 1410
BALTIMORE, MD
ZIP 21287

(443) 287-2937

DR. KARTIKEYA MAKKER M.D.

Pediatrics

(Neonatal-Perinatal Medicine)

1800 ORLEANS STREET
SUITE 8S 8520 NEONATOLOGY
BALTIMORE, MD
ZIP 21287

(410) 955-5259

DR. RICHARD JAMES CULLEY DNP

Nurse Anesthetist, Certified Registered

1800 ORLEANS STREET
BLALOCK 1410
BALTIMORE, MD
ZIP 21287

(443) 287-2937

VICTORIA MARADE GOODE CRNA

Nurse Anesthetist, Certified Registered

1800 ORLEANS STREET
BLALOCK 1410
BALTIMORE, MD
ZIP 21287

(443) 287-2937

DR. SOTIRIOS TASIGIORGOS MD

Surgery

1800 ORLEANS STREET
TOWER 110
BALTIMORE, MD
ZIP 21287

(410) 955-5020

JULIANA YANGUAS

Student in an Organized Health Care Education/Training Program

1800 ORLEANS STREET
BLOOMBER 12N
BALTIMORE, MD
ZIP 21287

(410) 955-7675

GEOFFREY STUART KELLY M.D.

Emergency Medicine

1800 ORLEANS STREET
THE JOHNS HOPKINS HOSPITAL
BALTIMORE, MD
ZIP 21287

(420) 955-2727

DR. KHYZER AZIZ M.D.

Pediatrics

1800 ORLEANS STREET
BLOOMBERG CHILDREN'S CENTER 8S-8520
BALTIMORE, MD
ZIP 21287

(410) 614-3829

AMY M SWANK CRNA

Nurse Anesthetist, Certified Registered

1800 ORLEANS STREET
BLALOCK 1410
BALTIMORE, MD
ZIP 21287

(443) 287-2937

CONNOR LIU

Student in an Organized Health Care Education/Training Program

1800 ORLEANS STREET
DEPARTMENT OF NEUROSURGERY, ZAYED TOWER, MAILSTOP 6007
BALTIMORE, MD
ZIP 21287

(410) 502-6099

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689904625, enumerated as an "individual" on January 13, 2010.

The provider is located at 1800 ORLEANS STREET CHILDRENS CTR M2307 BALTIMORE, MD 21287 and the phone number is (410) 955-5987.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.