Individual provider Active NPI

Ernesto Lao, M.D.

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1235158528
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
301065252 Issued in MI
Practice address
30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720
Phone
(586) 421-3150
Fax
(586) 421-3151
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 301065252 MI Primary

Addresses

Primary practice location

30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720

Mailing address

30795 23 Mile Rd
Suite 205
Chesterfield, MI 48047-5720
Phone (586) 421-3150

Other identifiers 1

IdentifierTypeStateIssuer
4243508MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100112000734 MI Practitioner - Family Practice 5496896425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30795 23 Mile Rd
Suite 209
Chesterfield, MI 48047-5721
Phone (586) 421-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301065252MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Family Medicine Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 1, 2003 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine CurrentSince Jul 1, 2003 Accepting new patients

Locations

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Ste 209
Chesterfield, MI 48047
Phone (586) 421-6000

30795 23 Mile Rd
Ste 205
Chesterfield, MI 48047
Phone (586) 421-3000

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

1 Ford Pl
#2E
Detroit, MI 48202
Phone (313) 874-4688

215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010

Interoperability endpoints

  • Direct secure messaging: elao3285@direct.hfhs.org

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1235158528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3150",
            "fax_number": "586-421-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "address_2": "SUITE 205",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3150",
            "fax_number": "586-421-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAO",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "301065252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4243508",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.