Active NPI
Michael R McLaughlin, MD
- Emergency Medicine Physician
- South Lake Tahoe, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A106377
- Practice address
- 2170 South Ave
South Lake Tahoe, CA 96150-7026 - Phone
- (530) 541-3420
- NPI assigned
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13872 | NV | |
| Emergency Medicine Physician | 207P00000X | A106377 | CA | Primary |
Addresses
Primary practice location
2170 South Ave
South Lake Tahoe, CA 96150-7026
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659
Other practice location 1
1501-A Kirkwood Meadows Dr
Kirkwood, CA 95646
Phone (209) 258-7236
Other practice location 2
3860 Saddle Rd
South Lake Tahoe, CA 96150-8673
Phone (530) 543-5575
Other practice location 3
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone (775) 782-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090320000017 | CA | Practitioner - Emergency Medicine | 8123199163 | Reassigns benefits to 3 organizations |
| I20110808000262 | NV | Practitioner - Emergency Medicine | 8123199163 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Pittsburgh School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tahoe Emergency Physicians Medical Corporation
Practice addresses (Care Compare)
2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420
Hospital & facility affiliations
- Carson Valley Health
- Barton Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.42 of 100
- Quality
- 93.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106377 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barton Healthcare System | Emergency Medicine | Current | Accepting new patients |
| Barton Healthcare System | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| Barton Healthcare System | Emergency Medicine | Current | Accepting new patients |
| Tahoe Emergency Physicians Medical Corporation | Emergency Medicine | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Barton Healthcare System | Past | Accepting new patients |
Locations
1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
#1112
San Jose, CA 95128
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659
3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- South Lake Tahoe, CA
- NPI 1104937408
CA, Emergency Medicine
-
- Internal Medicine Physician
- South Lake Tahoe, CA
- NPI 1235196015
CA, Emergency Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
CA
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
NV
-
- Emergency Medicine Physician
- South Lake Tahoe, CA
- NPI 1306931357
Emergency Medicine
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
-
- Rural Health Clinic/Center
- South Lake Tahoe, CA
- NPI 1053310326
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124200142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EMERALD BAY RD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506207",
"telephone_number": "530-543-5659",
"fax_number": "530-541-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 SOUTH AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507026",
"telephone_number": "530-541-3420"
}
],
"practiceLocations": [
{
"address_1": "1501-A Kirkwood Meadows Dr",
"address_purpose": "LOCATION",
"city": "Kirkwood",
"state": "CA",
"postal_code": "95646",
"country_code": "US",
"telephone_number": "209-258-7236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3860 Saddle Rd",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961508673",
"country_code": "US",
"telephone_number": "530-543-5575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1107 US Highway 395 N",
"address_purpose": "LOCATION",
"city": "Gardnerville",
"state": "NV",
"postal_code": "894105304",
"country_code": "US",
"telephone_number": "775-782-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "13872",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A106377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.