Active NPI
Nicholas Thomas Lacava, MD
- General Practice Physician
- West Boylston, MA
National Provider Identifier
1770690141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 39891
- Practice address
- 360 W Boylston St
Suite 107
West Boylston, MA 01583-2365 - Phone
- (508) 854-1380
- Fax
- (508) 854-0446
- NPI assigned
- Aug 23, 2006
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 39891 | MA | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 39891 | MA | |
| Pediatrics Physician | 208000000X | 39891 | MA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 39891 | MA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 39891 | MA | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 39891 | MA | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | 39891 | MA | |
| Pediatric Endocrinology Physician | 2080P0205X | 39891 | MA | |
| Pediatric Gastroenterology Physician | 2080P0206X | 39891 | MA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 39891 | MA | |
| Pediatric Pulmonology Physician | 2080P0214X | 39891 | MA | |
| Pediatric Medical Toxicology Physician | 2080T0002X | 39891 | MA | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 39891 | MA | |
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | 39891 | MA | |
| General Practice Physician | 208D00000X | 39891 | MA | Primary |
Addresses
Primary practice location
360 W Boylston St
Suite 107
West Boylston, MA 01583-2365
Mailing address
360 W Boylston St
Suite 107
West Boylston, MA 01583-2365
Phone (508) 854-1380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030891 | Other | MA | TUFTS PROVIDER ID |
| 2045842 | Medicaid | MA | |
| E11028 | Other | MA | BLUE CROSS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2015 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39891 | MA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francis Holistic Medical Center, P.C. | Allergy & Immunology | Past | Accepting new patients |
| Marino Foundation for Integrative Medicine, Inc. | Past | Accepting new patients | |
| Rothfeld Center for Integrative Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- fhmc.lacava@fhmcp-ma.direct.office.nextgen.com
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.
-
- General Practice Physician
- West Boylston, MA
- NPI 1447361837
Allergy & Immunology
-
- Psychologist
- Cambridge, MA
- NPI 1477662237
-
- Family Medicine Physician
- Arlington, MA
- NPI 1205903721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770690141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W BOYLSTON ST",
"address_2": "SUITE 107",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832365",
"telephone_number": "508-854-1380",
"fax_number": "508-854-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W BOYLSTON ST",
"address_2": "SUITE 107",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832365",
"telephone_number": "508-854-1380",
"fax_number": "508-854-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACAVA",
"first_name": "NICHOLAS",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2080T0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Medical Toxicology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "2083T0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Medical Toxicology",
"state": "MA",
"license": "39891",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "39891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER ID",
"identifier": "030891",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045842",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "E11028",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.