Lawrence Scott Mactavish II, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1715 Issued in TX

Practice address

17215 Red Oak Dr
Ste 102
Houston, TX 77090-2611

Phone

(281) 444-4114

Fax

(281) 453-1269

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Center of North Houston P aGroup PAC ID 7214995729, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smactavish@direct.uspi.com
• Direct secure messaging: scottmactavish@faaconhpa-tx.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Foot and Ankle Center of North Houston P a

  • Podiatrist
  • Houston, TX
  • NPI 1457393795
  Medicare reassignment Care Compare group NPD
• Liberty Dayton Foot & Ankle Center

  • Podiatrist
  • Liberty, TX
  • NPI 1689603805
  Medicare reassignment Authorized official
• Home Foot Care, LLP

  • Primary Podiatric Medicine Podiatrist
  • Houston, TX
  • NPI 1437147634
  NPD (past)
• Lepow Podiatric Medical Associates

  • Podiatrist
  • Houston, TX
  • NPI 1447399639
  NPD (past)
• Lepow Podiatric Medical Associates

  • Podiatrist
  • Houston, TX
  • NPI 1730228925
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1104858885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 RED OAK DR",
            "address_2": "STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902611",
            "telephone_number": "281-444-4114",
            "fax_number": "281-453-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 RED OAK DR",
            "address_2": "STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902611",
            "telephone_number": "281-444-4114",
            "fax_number": "281-453-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACTAVISH",
        "first_name": "LAWRENCE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172014602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "00448339",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W6251",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80207X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00397523",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172014603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arusa Amin Macnojia, MD
• Ashley Macpherson, LP
• Jessica Inez Macpherson, DDS
• Michael P Macris, M.D.
• Macs Healthy Living Home Care
• Lawrence Scott Mactavish, D.P.M.
• Mitchell C Mactier, DDS
• Macula Vitreous Retina Physicians & Surgeons PA
• Chintan S Macwan, P.T.
• Fran H Macy, CRNA

• Podiatrist in Houston, TX
• Providers in Houston, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.

Verify at the official NPI Registry.