Individual provider Active NPI

Michael Anthony Lauto, DO

  • Internal Medicine Physician
  • Patchogue, NY
National Provider Identifier
1447339270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1741251 Issued in NY
Practice address
107 North Ocean Avenue
Suite a
Patchogue, NY 11772-2012
Phone
(631) 475-4515
Fax
(631) 475-9846
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1741251 NY Primary

Addresses

Primary practice location

107 North Ocean Avenue
Suite a
Patchogue, NY 11772-2012

Mailing address

107 North Ocean Avenue
Suite a
Patchogue, NY 11772-2012
Phone (631) 475-4515

Other identifiers 4

IdentifierTypeStateIssuer
01080895MedicaidNY
22E071OtherNYBLUE CROSS
P369730OtherNYOXFORD
2417OtherNYVYTRA

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
I20101203000056 NY Practitioner - Internal Medicine 1153518188 Practice locations: East Patchogue, NY; Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 N Ocean Ave
Suite a
Patchogue, NY 11772-2012
Phone (631) 475-4515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1741251NYMDInternal Medicine Physician

Hospital & facility affiliations 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447339270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTH OCEAN AVENUE",
            "address_2": "SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-475-4515",
            "fax_number": "631-475-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTH OCEAN AVENUE",
            "address_2": "SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-475-4515",
            "fax_number": "631-475-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1741251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01080895",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "22E071",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P369730",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "2417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.