Active NPI
Kevin Joseph Lavelle, M.D.
- Nephrology Physician
- Carmel, IN
National Provider Identifier
1619309317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01023796A
- Practice address
- 621 First Ave. N.E.
Carmel, IN 46032 - Phone
- (317) 575-9808
- NPI assigned
- Aug 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 01023796A | IN | Primary |
Addresses
Primary practice location
621 First Ave. N.E.
Carmel, IN 46032
Mailing address
621 First Ave. N.E.
Carmel, IN 46032
Phone (317) 509-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01023796A | IN | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1619309317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 FIRST AVE. N.E.",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-509-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 FIRST AVE. N.E.",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-575-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVELLE",
"first_name": "KEVIN",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-05",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01023796A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.