Individual provider Active NPI

Nicholas Thomas Lacava, MD

  • General Practice Physician
  • West Boylston, MA
National Provider Identifier
1770690141
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
39891 Issued in MA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
030891OtherMATUFTS PROVIDER ID
2045842MedicaidMA
E11028OtherMABLUE 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
39891MAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francis Holistic Medical Center, P.C. Allergy & Immunology PastSince Jul 1, 2000 Accepting new patients
Marino Foundation for Integrative Medicine, Inc. Past Accepting new patients
Rothfeld Center for Integrative Medicine PastSince Sep 6, 1991 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.