Active NPI
Michael Todd Lavelle, M.D.
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200200391
- Practice address
- 700 E Morehead St Ste 300
Charlotte, NC 28202-2742 - Phone
- (704) 334-7800
- Fax
- (704) 414-7512
- NPI assigned
- Jul 18, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23045 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 200200391 | NC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 60.213907 | NY |
Addresses
Primary practice location
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 334-7800
Other practice location 1
1701 East Blvd
Charlotte, NC 28203-5823
Phone (704) 334-7800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC 300130038 | Other | NC | RR MEDICARE NC |
| N00391 | Medicaid | SC | |
| 89130Y2 | Medicaid | NC | |
| SC 300130040 | Other | SC | RR MEDICARE SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945
1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535
1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900
1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945
1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945
1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391
1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800
1090 NW Gateway CT
Suite 202
Concord, NC 28025-2414
Phone (704) 403-9050
12016 Lemmond Farm Dr
Suite 100
Charlotte, NC 28227-8353
Phone (704) 863-9600
13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800
1426 E Morehead St
Charlotte, NC 28204-2926
Phone (704) 446-8250
16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950
1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610
181 Daniel Rd
Forest City, NC 28043-7151
Phone (828) 286-9036
2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800
2711 Lane St
Kannapolis, NC 28083-9217
Phone (704) 334-7800
332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500
433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945
4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 362-1945
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945
613 E Roosevelt Blvd
Monroe, NC 28112-5124
Phone (704) 283-8193
724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550
Hospital & facility affiliations
- Atrium Health Pineville
- Carolinas Medical Center/Behav Health
- Carolinas Medical Center-Northeast
- Atrium Health Union
- Atrium Health University City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200391 | NC | MD | Diagnostic Radiology Physician |
| 60.213907 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Carolinas Imaging Services, LLC | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Nyumc Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| New York University Medical Center Faculty Practice Radiology | Diagnostic Radiology | Past | Accepting new patients |
| Charlotte Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Blue Ridge Healthcare Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
1701 East Blvd
Charlotte, NC 28203
2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236
2293 Sugar Hill Rd
#G
Marion, NC 28752
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572
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.
-
- Obstetrics & Gynecology Physician
- Connelly Springs, NC
- NPI 1467993931
-
- Diagnostic Radiology Physician
- Morganton, NC
- NPI 1639244478
-
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
- Physiological Laboratory
- Rock Hill, SC
- NPI 1780113324
-
- Diagnostic Radiology Physician
- Hickory, NC
- NPI 1578842035
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1003110677
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1114038353
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962513101
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1285633727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
}
],
"practiceLocations": [
{
"address_1": "1701 East Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035823",
"country_code": "US",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVELLE",
"first_name": "MICHAEL",
"middle_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "23045",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200200391",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "60.213907",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NC",
"identifier": "NC 300130038",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N00391",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130Y2",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE SC",
"identifier": "SC 300130040",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.