Individual provider Active NPI

Lauren Fill, DO

  • Allergy & Immunology Physician
  • North Olmsted, OH
National Provider Identifier
1669969697
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
34016088 Issued in OH
Practice address
25761 Lorain Rd
North Olmsted, OH 44070-3368
Phone
(440) 779-1112
Fax
(440) 779-0247
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 34016088 OH Primary

Addresses

Primary practice location

25761 Lorain Rd
North Olmsted, OH 44070-3368

Mailing address

4328 W 227TH St
Fairview Park, OH 44126-1856
Phone (724) 944-9876

Other practice location 1

29000 Center Ridge Rd
Westlake, OH 44145-5219
Phone (440) 827-5784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230523002526 OH Practitioner - Allergy/Immunology 0345595575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Immunology Associates IncGroup PAC ID 5991739690, 7 clinicians

Practice addresses (Care Compare)

25761 Lorain Rd
FL 3
North Olmsted, OH 44070-3369
Phone (440) 779-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.85 of 100Reported as group
Quality
99.7
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34016088OHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Immunology Associates Inc Single Specialty CurrentSince Jul 1, 2023 Accepting new patients

Locations

5915 Landerbrook Dr
Ste 110
Mayfield Hts, OH 44124
Phone (216) 381-3333

25761 Lorain Rd
Fl 3
North Olmsted, OH 44070
Phone (440) 779-1112

Interoperability endpoints

  • Direct secure messaging: lfill38685@ehrdirect.uhhospitals.org

Organizations & group practices 1

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 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1669969697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 W 227TH ST",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261856",
            "telephone_number": "724-944-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25761 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703368",
            "telephone_number": "440-779-1112",
            "fax_number": "440-779-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29000 Center Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455219",
            "country_code": "US",
            "telephone_number": "440-827-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILL",
        "first_name": "LAUREN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "34016088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.