Individual provider Active NPI

Rebecca Lavalley, MD

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1356600449
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
281119 Issued in NY
Practice address
6 Hampden PL
Utica, NY 13502-5631
Phone
(315) 733-2526
Fax
(315) 733-2846
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 281119 NY Primary

Addresses

Primary practice location

6 Hampden PL
Utica, NY 13502-5631

Mailing address

6 Hampden PL
Utica, NY 13502-5631
Phone (315) 733-2526

Other identifiers 1

IdentifierTypeStateIssuer
04270909MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151029000978 NY Practitioner - Family Practice 8224347497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281119NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc Family Medicine CurrentSince Dec 30, 2023 Accepting new patients
MVHS Inc CurrentSince Dec 30, 2023 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1904 Genesee St
Utica, NY 13502
Phone (315) 793-8856

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

6 Hampden Pl
Utica, NY 13502
Phone (315) 624-3666

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: rlavalley25221@mvhealthsystem.direct-ci.com

Organizations & group practices 2

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 1

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1356600449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAMPDEN PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025631",
            "telephone_number": "315-733-2526",
            "fax_number": "315-733-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HAMPDEN PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025631",
            "telephone_number": "315-733-2526",
            "fax_number": "315-733-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04270909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.