Lara a. Colabelli, DO, PLLC

Key facts

NPI: 1962223693
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
Legal business name: LARA A. COLABELLI, DO, PLLC
Practice address: 5 Pequot Park Rd Ste 201a
Westbrook, CT 06498-2856
Phone: (475) 317-4403
NPI assigned: Oct 24, 2024
Organization subpart: No

Authorized official

Name: Ms. Lara Colabelli, DO
Title: Owner/Physician
Phone: (475) 317-4403

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Lara Ann Colabelli, DO Internal Medicine Physician · Westbrook, CT · NPI 1407054844

Medicare reassignment CT
David Jonathan Eilbott, MD Internal Medicine Physician · Branford, CT · NPI 1720094188

NPD (past) INTERNAL MEDICINE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
07D2332246	Lara a Colabelli, DO, PLLC 5 Pequot Park Road, Westbrook, CT 06498	Certificate of waiver	Oct 15, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250902000410	CT	Part B Supplier - Clinic/Group Practice	8527569482	Receives reassigned benefits from 1 practitioner Practice locations: Westbrook, CT

National Provider Directory

Locations

5 Pequot Park Rd
Ste 210A
Westbrook, CT 06498

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X			Yes

Addresses

Primary practice location

5 Pequot Park Rd Ste 201a
Westbrook, CT 06498-2856

Mailing address

5 Pequot Park Rd Ste 201a
Westbrook, CT 06498-2856
Phone (475) 317-4403

Other providers in Westbrook, CT

All providers in Westbrook, CT · Internal Medicine Physician in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.