Individual provider Active NPI

Michelle Julene Lefebvre, M.D.

  • Pediatrics Physician
  • Providence, RI
National Provider Identifier
1740220250
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD09918 Issued in RI
Practice address
2 Dudley St
Suite 190
Providence, RI 02905-3236
Phone
(401) 444-3400
Fax
(401) 444-3411
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD09918 RI Primary
Pediatric Adolescent Medicine Physician 2080A0000X M.D.09918 RI
Pediatric Adolescent Medicine Physician 2080A0000X MD09918 RI

Addresses

Primary practice location

2 Dudley St
Suite 190
Providence, RI 02905-3236

Mailing address

67 Oriole Ave
Providence, RI 02906-5527
Phone (401) 464-8574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20220217000410 RI Practitioner - Pediatric Medicine 7315330255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 Pitman St
Suite 2200
Providence, RI 02906-4311
Phone (401) 437-6777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09918RIMDPediatrics Physician
M.D.09918RIMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Pediatrics Current Accepting new patients
Partners in Pediatrics Inc Pediatrics CurrentSince Dec 1, 2021 Accepting new patients

Locations

2 Dudley St
Ste 190
Providence, RI 02905
Phone (401) 228-0555

593 Eddy St
Providence, RI 02903

95 Pitman St
Ste 2200
Providence, RI 02906
Phone (401) 437-6777

Interoperability endpoints

  • Direct secure messaging: mlefebvre@direct.carene.org

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1740220250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ORIOLE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065527",
            "telephone_number": "401-464-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "SUITE 190",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-444-3400",
            "fax_number": "401-444-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEBVRE",
        "first_name": "MICHELLE",
        "middle_name": "JULENE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD09918",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "M.D.09918",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "MD09918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.