NPIMap

Individual provider Active NPI

Charles E Lavalle, M.D.

  • Infectious Disease Physician
  • Cape Girardeau, MO
National Provider Identifier
1477537975
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
115503 Issued in MO
Practice address
211 Saint Francis Dr
Attn: Infectious Disease Dept
Cape Girardeau, MO 63703-5049
Phone
(573) 331-3000
Fax
(573) 331-3000
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 115503 MO Primary

Addresses

Primary practice location

211 Saint Francis Dr
Attn: Infectious Disease Dept
Cape Girardeau, MO 63703-5049

Mailing address

PO Box 191850
Attn: Debbie Strauss
Saint Louis, MO 63119-7850
Phone (314) 821-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20041216000310 MO Practitioner - Infectious Disease 8325005812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Medical Specialists of Southeast Missouri, PCGroup PAC ID 2860589488, 2 clinicians
Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

1126 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4312

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

1723 Broadway St
Suite 120
Cape Girardeau, MO 63701-4556
Phone (573) 331-7880

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115503MOMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Jan 1, 2018 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Sep 28, 2020 Accepting new patients
Medical Specialists of Southeast Missouri, PC CurrentSince Jul 1, 2003 Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 1, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1723 Broadway St
Ste 120
Cpe Girardeau, MO 63701
Phone (573) 331-4680

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1126 N Main St
Sikeston, MO 63801
Phone (573) 471-4312

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 5

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1477537975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191850",
            "address_2": "ATTN: DEBBIE STRAUSS",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631197850",
            "telephone_number": "314-821-8055",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "address_2": "ATTN: INFECTIOUS DISEASE DEPT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-331-3000",
            "fax_number": "573-331-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLE",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "115503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.