NPIMap

Individual provider Active NPI

Sunil N Lalla, MD

  • Pulmonary Disease Physician
  • Fort Myers, FL
National Provider Identifier
1407841760
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME061581 Issued in FL
Practice address
14171 Metropolis Ave
202
Fort Myers, FL 33912-4335
Phone
(239) 561-2202
Fax
(239) 561-3099
NPI assigned
Sep 13, 2005
Last updated
Nov 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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 ME061581 FL Primary

Addresses

Primary practice location

14171 Metropolis Ave
202
Fort Myers, FL 33912-4335

Mailing address

14171 Metropolis Ave
202
Fort Myers, FL 33912-4335
Phone (239) 561-2202

Other identifiers 2

IdentifierTypeStateIssuer
370308800MedicaidFL
15080OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000425 FL Practitioner - General PracticePractitioner - Pulmonary DiseasePractitioner - Internal Medicine 8426114190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine, Pulmonary Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14171 Metropolis Ave
Fort Meyers, FL 33912-4335
Phone (239) 561-2202

14171 Metropolis Ave S
Suite 202
Fort Meyers, FL 33912-4335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
46.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME061581FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunil N Lalla MD PA Pulmonary Disease CurrentSince Jul 12, 2001 Accepting new patients

Locations

1003 Del Prado Blvd S
#202B
Cape Coral, FL 33990
Phone (239) 772-1200

14171 Metropolis Ave
Ste 202
Fort Myers, FL 33912
Phone (239) 561-2202

14171 Metropolis Ave
South Fort Myers, FL 33912
Phone (239) 561-2202

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1407841760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14171 METROPOLIS AVE",
            "address_2": "202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124335",
            "telephone_number": "239-561-2202",
            "fax_number": "239-561-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14171 METROPOLIS AVE",
            "address_2": "202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124335",
            "telephone_number": "239-561-2202",
            "fax_number": "239-561-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLA",
        "first_name": "SUNIL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME061581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370308800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.