NAVEEN LAL M.D.
NPI 1770692337
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
66.75/100
CMS Quality Rating
604 W BERRY ST, FORT WAYNE, IN 46802(260) 423-1331(260) 422-1046 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Naveen Lal M.d. NPPES

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

NAVEEN LAL M.D. (NPI 1770692337) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (01050563A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1770692337
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNAVEEN LALCredential: M.D.
Location Address604 W BERRY STFort Wayne, IN 46802-2106
Mailing Address604 W Berry StFort Wayne, IN 46802-2106 · (260) 423-1331 · Fax (260) 422-1046
Fax(260) 422-1046
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 29, 2006
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
NPI 1770692337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IN · 01050563A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 01050563A (IN)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 01050563A (IN)
604 W BERRY ST, Fort Wayne, IN 46802

Other Identifiers 1

Medicaid200237610AIN

Accepted 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

Naveen Lal 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 ID9830260462
PECOS Enrollment IDI20120113000776
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 19

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.
589 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
578 services294 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
276 services69 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
180 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services102 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
96 services95 patients

Hospital Affiliations CMS Care Compare 3

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

66.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality48.3
Improvement Activities40
Cost53.02

Reported Quality Measures

Controlling High Blood Pressure
54%1,297 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%389 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%4,282 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%989 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%1,876 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 19% · 1,714 patients
Patients screened: 27% · 1,714 patients
43%253 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%1,636 patients3/55-star benchmark: 91%
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 5

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

Physician Assistant (Medical)
604 W BERRY ST
FORT WAYNE, IN 46802
Registered Nurse
604 W BERRY ST
FORT WAYNE, IN 46802
Internal Medicine (Cardiovascular Disease)
604 W BERRY ST
FORT WAYNE, IN 46802
Registered Nurse
604 W BERRY ST
FORT WAYNE, IN 46802
Internal Medicine (Cardiovascular Disease)
604 W BERRY ST
FORT WAYNE, IN 46802

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 Naveen Lal's NPI number?

The NPI number for Naveen Lal is 1770692337. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Naveen Lal located?

Naveen Lal practices at 604 W Berry St, Fort Wayne, IN 46802. The listed phone number is (260) 423-1331.

What is Naveen Lal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Naveen Lal enrolled in Medicare?

Yes. Naveen Lal 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 Naveen Lal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Naveen Lal 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 Naveen Lal affiliated with any hospitals?

According to CMS data, Naveen Lal is affiliated with Lutheran Hospital Of Indiana, Dupont Hospital LLC and Cameron Memorial Community Hospital Inc.

When was this NPI record last updated?

The NPPES record for Naveen Lal was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.