Individual provider Active NPI

Michael John Lalor, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Winston Salem, NC
National Provider Identifier
1093807208
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
2014-00200 Issued in NC
Practice address
101 Hospice LN
Winston Salem, NC 27103-5766
Phone
(336) 768-3972
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD063108L PA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 2014-00200 NC Primary

Addresses

Primary practice location

101 Hospice LN
Winston Salem, NC 27103-5766

Mailing address

101 Hospice LN
Winston Salem, NC 27103-5766
Phone (336) 768-3972

Other identifiers 1

IdentifierTypeStateIssuer
0017391700001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722000366 NC Practitioner - Internal Medicine 0648364653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014-00200NCMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice & Palliative Carecenter Internal Medicine CurrentSince Apr 27, 2014 Accepting new patients
Hospice & Palliative Carecenter CurrentSince Apr 27, 2014 Accepting new patients
Einstein Community Health Associates, Inc Internal Medicine Past Accepting new patients

Locations

101 Hospice Ln
Winston Salem, NC 27103
Phone (336) 768-3972

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trellis Supportive CareWinston Salem, NC, CCN 341502 Hospice Corporate Officer Jun 15, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1093807208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPICE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035766",
            "telephone_number": "336-768-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPICE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035766",
            "telephone_number": "336-768-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALOR",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD063108L",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2014-00200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017391700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.