Individual provider Active NPI

Lauren Cardella, DO

  • Vascular Surgery Physician
  • Traverse City, MI
National Provider Identifier
1275950347
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
5101024596 Issued in MI
Practice address
3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone
(231) 935-0390
Fax
(231) 935-0395
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 5101024596 MI Primary

Addresses

Primary practice location

3930 Cedar Run Rd
Traverse City, MI 49684-9687

Mailing address

3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone (231) 935-0390

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
I20211202002377 MI Practitioner - Vascular Surgery 6901122373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, shared by 12 NPIs, 377 clinicians

Practice addresses (Care Compare)

3930 Cedar Run Rd
Traverse City, MI 49684-9687
Phone (231) 935-0390

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)40
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101024596MIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Vascular Center P.C. Vascular Surgery CurrentSince Nov 1, 2023 Accepting new patients

Locations

3930 Cedar Run Rd
Traverse City, MI 49684
Phone (231) 935-0390

Interoperability endpoints

  • Direct secure messaging: lauren.cardella@vconm.eclinicaldirectplus.com
  • Direct secure messaging: laurencardella@mvc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHFAA/Endpoint/HEHFAA

Organizations & group practices 1

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 6

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1275950347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-935-0390",
            "fax_number": "231-935-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 CEDAR RUN RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849687",
            "telephone_number": "231-935-0390",
            "fax_number": "231-935-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLA",
        "first_name": "LAUREN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101024596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.