Active NPI
Kishore Mattappilly Lakshman, MD,MPH
- Endocrinology, Diabetes & Metabolism Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 232520
- Practice address
- 289 Pleasant St
Suite 604
Fall River, MA 02721-3005 - Phone
- (508) 646-7710
- Fax
- (508) 646-7714
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 232520 | MA | Primary |
Addresses
Primary practice location
289 Pleasant St
Suite 604
Fall River, MA 02721-3005
Mailing address
289 Pleasant St
Suite 604
Fall River, MA 02721-3005
Phone (508) 646-7710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
277 Pleasant St
Fall River, MA 02721-3005
289 Pleasant St
Fall River, MA 02721-3005
67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292
Hospital & facility affiliations
- Southcoast Hospitals Group
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232520 | MA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Prima Care, PC | Current | Accepting new patients |
Locations
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
289 Pleasant St
Ste 604
Fall River, MA 02721
Phone (508) 646-7710
277 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 235-0481
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
Interoperability endpoints
- kishore.lakshman@prima.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1992909568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 PLEASANT ST",
"address_2": "SUITE 604",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-646-7710",
"fax_number": "508-646-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 PLEASANT ST",
"address_2": "SUITE 604",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213005",
"telephone_number": "508-646-7710",
"fax_number": "508-646-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKSHMAN",
"first_name": "KISHORE",
"middle_name": "MATTAPPILLY",
"name_prefix": "Dr.",
"credential": "MD,MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "232520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.