NPIMap

Individual provider Active NPI

Lola McLaren Cevallos, MD

  • Internal Medicine Physician
  • E Greenwich, RI
National Provider Identifier
1518298272
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD14764 Issued in RI
Practice address
1598 S County TRL Ste 201
E Greenwich, RI 02818-1762
Phone
(401) 884-0333
Fax
(401) 884-0096
NPI assigned
Jan 20, 2010
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 MD14764 RI Primary

Addresses

Primary practice location

1598 S County TRL Ste 201
E Greenwich, RI 02818-1762

Mailing address

1598 S County TRL Ste 201
E Greenwich, RI 02818-1762
Phone (401) 884-0333

Other names 1

  • Maria Lola Cevallos Alomia Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcevallos29226@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20141210002231 RI Practitioner - Internal Medicine 2860664752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

1598 S County TRL
Suite 201
East Greenwich, RI 02818-1762
Phone (401) 884-0333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Medical Associates of Ri Inc Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients

Locations

1180 Hope St
Bristol, RI 02809
Phone (401) 253-8900

1598 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 884-0333

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

950 Warren Ave
East Providence, RI 02914
Phone (401) 228-7887

950 Warren Ave
Ste 303
East Providence, RI 02914
Phone (401) 228-7887

Interoperability endpoints

  • Direct secure messaging: lmclarencevallos29226@brownhealth.medalliesdirect.net
  • Direct secure messaging: mcevallos29226@brownhealth.medalliesdirect.net
  • Direct secure messaging: mcevallos29226@direct.lifespan.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1518298272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 S COUNTY TRL STE 201",
            "city": "E GREENWICH",
            "state": "RI",
            "postal_code": "028181762",
            "telephone_number": "401-884-0333",
            "fax_number": "401-884-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 S COUNTY TRL STE 201",
            "city": "E GREENWICH",
            "state": "RI",
            "postal_code": "028181762",
            "telephone_number": "401-884-0333",
            "fax_number": "401-884-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAREN CEVALLOS",
        "first_name": "LOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD14764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcevallos29226@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "1598 S County Trl Ste 201",
            "city": "E Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028181762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CEVALLOS ALOMIA",
            "middle_name": "LOLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in E Greenwich, RI

Sources for this page

Verify at the official NPI Registry.