Individual provider Active NPI

Atilano Gapuz Lacson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Philadelphia, PA
National Provider Identifier
1811947757
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
40042 Issued in MA
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-5271
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 40042 MA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME65455 FL
Clinical Pathology Physician 207ZC0006X MD488135 PA

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Other practice location 1

801 6th St S
Dept 7010
St Petersburg, FL 33701-4816
Phone (727) 767-4341

Other identifiers 1

IdentifierTypeStateIssuer
035976900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231219000131 FL Practitioner - Pathology 6507216405 Reassigns benefits to 1 organization
I20250224000512 PA Practitioner - PathologyPractitioner - Pediatric Medicine 6507216405 Reassigns benefits to 1 organization
I20251218001865 TX Practitioner - Pathology 6507216405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2926 Lifford LN
Macungie, PA 18062-8472

8401 Jack Finney Blvd
Greenville, TX 75402-3017

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Childrens Hospital Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2026 Accepting new patients
STC Pediatrics LLC CurrentSince Feb 15, 2025 Accepting new patients
University of Miami Anatomic Pathology & Clinical Pathology CurrentSince Nov 14, 2023 Accepting new patients
Texas Childrens Hospital Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2026 Accepting new patients
STC Pediatrics LLC CurrentSince Feb 15, 2025 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Nov 14, 2023 Accepting new patients
Pediatric Physician Services, Inc. Anatomic Pathology & Clinical Pathology PastSince Oct 1, 2001 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

17600 Interstate 45 S
Ste WL270
The Woodlands, TX 77384
Phone (936) 267-5000

Interoperability endpoints

  • Direct secure messaging: alacson128370@direct.med.miami.edu

Organizations & group practices 9

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1811947757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 6th St S",
            "address_2": "Dept 7010",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014816",
            "country_code": "US",
            "telephone_number": "727-767-4341",
            "fax_number": "727-767-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACSON",
        "first_name": "ATILANO",
        "middle_name": "GAPUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "40042",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME65455",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "PA",
            "license": "MD488135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035976900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.