Individual provider Active NPI

Sherard NJ Lacaille, MBBS

  • Critical Care Medicine (Internal Medicine) Physician
  • Leominster, MA
National Provider Identifier
1528294139
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2698908 Issued in MA
Practice address
14 Monument SQ
Suite 401
Leominster, MA 01453-5766
Phone
(978) 728-4455
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.125626 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2698908 MA Primary

Addresses

Primary practice location

14 Monument SQ
Suite 401
Leominster, MA 01453-5766

Mailing address

14 Monument SQ
Suite 401
Leominster, MA 01453-5766
Phone (978) 728-4455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHERARD.LACAILLE@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20171113000823 FL Practitioner - Critical Care (Intensivists) 9335467208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

11750 SW 40 St
Miami, FL 33175-3530
Phone (561) 997-0821

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (561) 997-0821

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2698908MAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Aug 9, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Neuroscience Services, LLC PastSince May 25, 2021 Accepting new patients

Locations

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA

Organizations & group practices 3

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 1

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1528294139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONUMENT SQ",
            "address_2": "SUITE 401",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535766",
            "telephone_number": "978-728-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MONUMENT SQ",
            "address_2": "SUITE 401",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535766",
            "telephone_number": "978-728-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAILLE",
        "first_name": "SHERARD",
        "middle_name": "NJ",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.125626",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "2698908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHERARD.LACAILLE@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "14 Monument Sq",
            "address_2": "SUITE 401",
            "city": "Leominster",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014535766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.