Active NPI
Lawrence M Fallat, DPM
- Foot & Ankle Surgery Podiatrist
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901000848
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20555 Ecorse Rd
Taylor, MI 48180-1992
Phone (313) 389-2288
Hospital & facility affiliations
- Corewell Health Wayne Hospital
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Taylor
- Beaumont Hospital - Dearborn
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of nail tissue | 126 |
| Removal or shaving of skin growth | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare Inc | Current | Accepting new patients | |
| Oakwood Healthcare, Inc. | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Lawrence M Fallat DPM PC | Podiatrist | Current | Accepting new patients |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Oakwood Healthcare, Inc. | Current | 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
- 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.
-
- Podiatrist
- Taylor, MI
- NPI 1275617649
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1336174440
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
-
- Diagnostic Radiology Physician
- Taylor, MI
- NPI 1306850854
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.