Active NPI
Lawrence S Tavel, MD
- General Practice Physician
- Indianapolis, IN
National Provider Identifier
1851864987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01027881A
- Practice address
- 2835 Lafayette Rd
Indianapolis, IN 46222-2147 - Phone
- (317) 926-0283
- Fax
- (855) 326-4293
- NPI assigned
- Jan 11, 2019
- Last updated
- Nov 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01027881A | IN | Primary |
Addresses
Primary practice location
2835 Lafayette Rd
Indianapolis, IN 46222-2147
Mailing address
2839 Lafayette Rd
Indianapolis, IN 46222-2147
Phone (317) 924-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027881A | IN | MD | General Practice Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1851864987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 LAFAYETTE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462222147",
"telephone_number": "317-924-1300",
"fax_number": "855-326-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 LAFAYETTE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462222147",
"telephone_number": "317-926-0283",
"fax_number": "855-326-4293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVEL",
"first_name": "LAWRENCE",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-11",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "IN",
"license": "01027881A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.