LUIS FERNANDO LAOS (MD) – Pulmonary Disease Physician, NPI 1407815525

LUIS FERNANDO LAOS (MD) is a healthcare provider. based in Orange park, Florida. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. ME70461 (FL). The NPI Number for LUIS FERNANDO LAOS (MD) is 1407815525

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
LUIS FERNANDO LAOS (MD)
NPI
1407815525
Phone
(904) 276-2044
Address
1893 KINGSLEY AVE
Enumeration Date
18 March 2006
Last Update Date
23 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043883357201
Graduation Year
1986 (40 years ago)
PAC ID
3577669787
Group Practice PAC ID
2961781984
Professional Enrollment ID
I20070504000314
Address ID
FL320739207OR1555XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

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Provider Addresses for LUIS FERNANDO LAOS (MD)

  • 1893, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    SUITE C

    ORANGE PARK, FL 320734491

    Phone: (904) 276-2044

    Fax: (904) 276-2106

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $9,772.

Total Amount is formed as General ($9,772) + Research ($0) + Ownership ($0) = $9,772.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($9,511).

Total Amount

$9,772

General + Research + Ownership

Payments

9

Total payment records

General Amount

$9,772

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070504000314IPulmonary DiseaseFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961781984View full group profile
NameSpecialtyState
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

What number should I use to identify LUIS FERNANDO LAOS (MD) for billing?
Administrative and clinical systems typically use NPI 1407815525 for LUIS FERNANDO LAOS (MD).
Quick check: is LUIS FERNANDO LAOS (MD) active?
Public NPPES data shows LUIS FERNANDO LAOS (MD) with an active NPI status right now.
Which specialty label fits LUIS FERNANDO LAOS (MD)?
NPPES ties LUIS FERNANDO LAOS (MD) to Pulmonary Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LUIS FERNANDO LAOS (MD)?
LUIS FERNANDO LAOS (MD) is associated with Orange Park, Florida in the same public data insurers reference.
Can I export LUIS FERNANDO LAOS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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