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LAUREN MICHAL DE LEON MD
NPI 1205154523
Internal Medicine in Smithfield, RI

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
41 SANDERSON RD, SUITE 201, SMITHFIELD, RI 02917(401) 949-0300(401) 349-3387 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lauren Michal De Leon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN MICHAL DE LEON MD (NPI 1205154523) is an individual internal medicine provider in Smithfield, Rhode Island, licensed in Rhode Island (MD14240) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1205154523
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAUREN MICHAL DE LEONCredential: MD
Location Address41 SANDERSON RD, SUITE 201Smithfield, RI 02917-2602
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 949-0300
Fax(401) 349-3387
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 11, 2010
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1205154523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD14240
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

41 SANDERSON RD, Smithfield, RI 02917
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Other Identifiers 3

MedicaidLD93741RI
Other003413601Medicare Ptan
Other709004048Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Michal De Leon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002050812
PECOS Enrollment IDI20211214000766
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
218 services154 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
196 services196 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services122 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers13 claims32 services$6.61 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$215.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers17 claims17 services$18.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID THOMAS PUGLIESE O.D.
Optometrist
41 SANDERSON RD, SUITE 203
SMITHFIELD, RI 02917
Providence County (401) 349-4791
DR. LUIS EMILIO LOPEZ LA ROSA MD
Internal Medicine
41 SANDERSON RD
SMITHFIELD, RI 02917
Providence County (401) 349-5255
SMITHFIELD DENTAL ASSOCIATES
Dentist (Endodontics)
41 SANDERSON RD, SUITE 106
SMITHFIELD, RI 02917
Providence County (617) 894-4220
SANDRA ALFRED NP
Nurse Practitioner
41 SANDERSON RD, SUITE 205
SMITHFIELD, RI 02917
Providence County (401) 349-0366
DR. VANESSA GREENIER MD
Internal Medicine
41 SANDERSON RD, SUITE 201
SMITHFIELD, RI 02917
Providence County (401) 949-0300
DR. FRANK FRAIOLI JR. D.O.
Family Medicine
41 SANDERSON RD, SUITE 206
SMITHFIELD, RI 02917
Providence County (401) 349-2203
NIDHI B SHARMA M.D.
Internal Medicine
41 SANDERSON RD, SUITE 201
SMITHFIELD, RI 02917
Providence County (401) 949-0300
DOMINIC JOHN RODA D.P.M.
Podiatrist (Foot & Ankle Surgery)
41 SANDERSON RD, STE 207
SMITHFIELD, RI 02917
Providence County (401) 949-3220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren De Leon's NPI number?

The NPI number for Lauren De Leon is 1205154523. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Lauren De Leon located?

Lauren De Leon practices at 41 Sanderson Rd Suite 201, Smithfield, RI 02917. The listed phone number is (401) 949-0300.

What is Lauren De Leon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lauren De Leon enrolled in Medicare?

Yes. Lauren De Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lauren De Leon accept?

Health plans from Anthem Blue Cross and Blue Shield list Lauren De Leon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lauren De Leon affiliated with any hospitals?

According to CMS data, Lauren De Leon is affiliated with Sturdy Memorial Hospital, Milford Regional Medical Center, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Lauren De Leon was last updated on January 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.