Individual provider Active NPI

Maureen Margaret Lally, CNP

  • Family Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1356697692
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN302894 Issued in OH
Practice address
7259 Pearl Rd
Middleburg Heights, OH 44130-4806
Phone
(440) 243-3391
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN.302894 OH
Family Nurse Practitioner 363LF0000X RN302894 OH Primary

Addresses

Primary practice location

7259 Pearl Rd
Middleburg Heights, OH 44130-4806

Mailing address

7259 Pearl Rd.
Middleburg Heights, OH 44130-4808
Phone (216) 778-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000810 OH Practitioner - Nurse Practitioner 0547416687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

850 Columbia Rd
Westlake, OH 44145-7213

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.302894OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Nov 23, 2013 Accepting new patients
The Metrohealth System CurrentSince Jul 25, 2012 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Metrohealth System CurrentSince Jul 25, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3609 Park East Dr
Ste 207
Cleveland, OH 44122
Phone (216) 360-9480

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: mlally63481@direct.ccf.org

Organizations & group practices 5

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 2

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356697692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 PEARL RD.",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304808",
            "telephone_number": "216-778-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7259 PEARL RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304806",
            "telephone_number": "440-243-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "MAUREEN",
        "middle_name": "MARGARET",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.302894",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN302894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.