NPIMap

Individual provider Active NPI

Lalaine E Mattison, MD

  • Pulmonary Disease Physician
  • Maumee, OH
National Provider Identifier
1366440224
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35062263 Issued in OH
Practice address
5757 Monclova Rd
Ste 25
Maumee, OH 43537-1863
Phone
(419) 482-9761
Fax
(419) 794-8296
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35062263 OH Primary

Addresses

Primary practice location

5757 Monclova Rd
Ste 25
Maumee, OH 43537-1863

Mailing address

7550 Lucerne Dr
Ste 405
Middleburg HTS, OH 44130-6503
Phone (440) 234-8833

Other identifiers 4

IdentifierTypeStateIssuer
P00146677OtherOHRAILROAD MEDICARE
02202OtherOHPARAMOUNT
000000345516OtherOHANTHEM
0258868MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmattison13549@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040910000103 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0648251736 Reassigns benefits to 1 organization
I20110902000590 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0648251736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062263OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Multi Specialty Physicians Pulmonary Disease CurrentSince Mar 2, 2025 Accepting new patients
Toledo Sleep Disorders Center LTD PastSince Sep 1, 2001 Accepting new patients
Maumee Internists, Inc. Past Accepting new patients
Pulmonary and Critical Specialists Inc Past Accepting new patients
Toledo Sleep Disorders Center Past Accepting new patients
Pulmonary and Critical Specialists Inc Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1620 Brigham Dr
Ste 230
Perrysburg, OH 43551
Phone (567) 585-2030

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: lmattison13549@direct.promedica.org

Organizations & group practices 7

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1366440224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 LUCERNE DR",
            "address_2": "STE 405",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "441306503",
            "telephone_number": "440-234-8833",
            "fax_number": "440-234-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "STE 25",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-482-9761",
            "fax_number": "419-794-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "LALAINE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35062263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00146677",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02202",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000345516",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258868",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmattison13549@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.