Active NPI
Michael Lewis Laccheo, MD
- Internal Medicine Physician
- Williamsburg, VA
National Provider Identifier
1508087677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101253794
- Practice address
- 263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674 - Phone
- (757) 941-5600
- NPI assigned
- May 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0101253794 | VA | |
| Internal Medicine Physician | 207R00000X | 0101253794 | VA | Primary |
Addresses
Primary practice location
263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674
Mailing address
263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674
Phone (757) 941-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101253794 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
Locations
263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1508087677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 MCLAWS CIR STE 105",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855674",
"telephone_number": "757-941-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 MCLAWS CIR STE 105",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855674",
"telephone_number": "757-941-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACCHEO",
"first_name": "MICHAEL",
"middle_name": "LEWIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0101253794",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101253794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.