Active NPI
Michael Anthony Lauto, DO
- Internal Medicine Physician
- Patchogue, NY
National Provider Identifier
1447339270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1741251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01080895 | Medicaid | NY | |
| 22E071 | Other | NY | BLUE CROSS |
| P369730 | Other | NY | OXFORD |
| 2417 | Other | NY | VYTRA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1741251 | NY | MD | Internal Medicine Physician |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- East Patchogue, NY
- NPI 1386631547
Nursing home
-
dba NYU Langone Hospitals - Suffolk
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
dba NYU Langone Hospital - Suffolk
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.