Individual provider Active NPI

Lawrence M Fallat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Taylor, MI
National Provider Identifier
1871551226
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000848 Issued in MI
Practice address
20555 Ecorse Rd
Taylor, MI 48180-1992
Phone
(313) 389-2288
Fax
(313) 389-2286
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901000848 MI Primary

Addresses

Primary practice location

20555 Ecorse Rd
Taylor, MI 48180-1992

Mailing address

20555 Ecorse Rd
Taylor, MI 48180-1992
Phone (313) 389-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000486 MI Practitioner - Podiatry 3375521800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence M Fallat DPM PCGroup PAC ID 4183774037, 3 clinicians

Practice addresses (Care Compare)

20555 Ecorse Rd
Taylor, MI 48180-1992
Phone (313) 389-2288

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue126
Removal or shaving of skin growth45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Ambulatory LLC Foot & Ankle Surgery CurrentSince Apr 6, 2015 Accepting new patients
Lawrence M Fallat DPM PC Podiatrist CurrentSince Mar 28, 2000 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 5, 2018 Accepting new patients
Oakwood Healthcare, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

15915 Southfield Rd
Allen Park, MI 48101
Phone (313) 294-1030

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

201 3rd St
Ste 300
Belleville, MI 48111
Phone (734) 697-9055

7330 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

23400 Michigan Ave
Ste 1205
Dearborn, MI 48124

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

20555 Ecorse Rd
Taylor, MI 48180
Phone (313) 389-2288

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: lfallat1233068@epic00.shdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1871551226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20555 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801992",
            "telephone_number": "313-389-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20555 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801992",
            "telephone_number": "313-389-2288",
            "fax_number": "313-389-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAT",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.