Lavanya Namballa, MD - Medicare Internal Medicine in Minneapolis, MN

Lavanya Namballa, MD is a medicare enrolled "Internal Medicine" physician in Minneapolis, Minnesota. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Fairview Clinics and her current practice location is 1527 E Lake St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 721-6511.

Lavanya Namballa is licensed to practice in Minnesota (license number 65322) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881030658.

Contact Information

Lavanya Namballa, MD
1527 E Lake St,
Minneapolis, MN 55407-6700
(612) 721-6511
Not Available

Map and Direction




Physician's Profile

Full NameLavanya Namballa
GenderFemale
SpecialityInternal Medicine
Experience26 Years
Location1527 E Lake St, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lavanya Namballa graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1881030658
  • Provider Enumeration Date: 05/20/2013
  • Last Update Date: 12/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234446097
  • Enrollment ID: I20191231002108

Medical Identifiers

Medical identifiers for Lavanya Namballa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881030658NPI-NPPES
14137435OtherCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 17628 (Nevada)Secondary
207R00000XInternal Medicine 65322 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Home Care And HospiceMinneapolis, MNHome health agency
Fairview Southdale HospitalEdina, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lavanya Namballa allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lavanya Namballa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lavanya Namballa, MD
400 Stinson Blvd Fl 2,
Minneapolis, MN 55413-2614

Ph: () -
Lavanya Namballa, MD
1527 E Lake St,
Minneapolis, MN 55407-6700

Ph: (612) 721-6511

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.