Michael A Lavallee Jr., D.O

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

051963 Issued in CT

Practice address

4 Shaws CV
Suite 204
New London, CT 06320-4956

Phone

(860) 447-2377

NPI assigned

Jun 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Obstetrics/Gynecology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

Merit-based Incentive Payment System (MIPS)

Final score

89.08 of 100Reported as group

Quality

85.82

Promoting interoperability

100

Improvement activities

40

Cost

77.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.lavallee@xdr.hhchealthdirect.org
• Direct secure messaging: michael.lavallee.1@10170.direct.athenahealth.com

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.

• Physicians for Women'S Health LLC

  • Obstetrics & Gynecology Physician
  • Rocky Hill, CT
  • NPI 1801826680
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence and Memorial Hospital, Inc.

  • General Acute Care Hospital
  • New London, CT
  • NPI 1073530879
  Care Compare affiliation
• Lawrence and Memorial Hospital, Inc.

  • General Acute Care Hospital
  • New London, CT
  • NPI 1700092459
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1447486741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHAWS CV",
            "address_2": "SUITE 204",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204956",
            "telephone_number": "860-447-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHAWS CV",
            "address_2": "SUITE 204",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204956",
            "telephone_number": "860-447-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "051963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "051963",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Ashton Lasky, CNM
• Judith S Lathrop
• Mary Lathrop, ATC, CSCS
• Sarah Laufer, LCSW
• Andrea S Lauter, APRN
• Briana Lavin, LPCA
• Andrew Phillip Lawhorne, DDS
• Lawrence and Memorial Hospital, Inc.
• Lawrence and Memorial Hospital, Inc.
• Lawrence and Memorial Hospital, Inc.

• Obstetrics & Gynecology Physician in New London, CT
• Providers in New London, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.

Verify at the official NPI Registry.