Active NPI
Laila Noor Menon, M.D.
- Gastroenterology Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2021-02017
- Practice address
- 170 Medical Park Rd
Mooresville, NC 28117-8540 - Phone
- (704) 664-9506
- NPI assigned
- Mar 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 282536 | NY | |
| Gastroenterology Physician | 207RG0100X | 2021-02017 | NC | Primary |
Addresses
Primary practice location
170 Medical Park Rd
Mooresville, NC 28117-8540
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04800208 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Medical Park Rd
Mooresville, NC 28117-8540
Phone (704) 664-9506
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 73 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282536 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Piedmont Healthcare, PA | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Gastroenterology | Current | Accepting new patients |
| Piedmont Healthcare, P.a. | Gastroenterology | Current | Accepting new patients |
Locations
170 Medical Park Rd
Mooresville, NC 28117
Phone (704) 660-4649
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230
150 E 42nd St
New York, NY 10017
Phone (212) 661-8139
10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
Interoperability endpoints
- lailamenon@phc.allscriptsdirect.net
- lmenon3031573@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Statesville, NC
- NPI 1912999897
Gastroenterology
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Gastroenterology
-
- Durable Medical Equipment & Medical Supplies
- Statesville, NC
- NPI 1639041320
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1023317260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-873-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MEDICAL PARK RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178540",
"telephone_number": "704-664-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "LAILA",
"middle_name": "NOOR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "282536",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2021-02017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04800208",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.