DR. LOIS G LELLO MD
NPI 1255367850
Pediatrics in Niles, MI
NPI Status: Active since June 24, 2006
Contact Information
2002 S 11TH ST
NILES, MI
ZIP 49120
Phone: (269) 687-0200
Fax: (269) 684-0199
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About LOIS LELLO
This page provides the complete NPI Profile along with additional information for Lois Lello, a pediatrician established in Niles, Michigan with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1255367850 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number 4301067372 (MI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1255367850
- Provider Name
- DR. LOIS G LELLO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2002 S 11TH ST NILES, MI 49120
- Location Phone
- (269) 687-0200
- Location Fax
- (269) 684-0199
- Mailing Address
- 2002 S 11TH ST NILES, MI 49120
- Mailing Phone
- (269) 687-0200
- Mailing Fax
- (269) 684-0199
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-24-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A pediatrician like Lois Lello is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301067372
- License State
- MI
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3501101662 | OTHER (01) | MI | BLUE CROSS PIN |
Medicare Participation & PECOS Enrollment Status
Lois Lello is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49120 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. LOIS G LELLO MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 6 | 7 | 8 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 14 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 4 + 8 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255367850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SOUTHWESTERN MEDICAL CLINIC PC
Specialist
2002 S 11TH ST
NILES, MI
ZIP 49120
AMY VIOLA PETRIE PAC
Physician Assistant
(Medical)
2002 S 11TH ST
NILES, MI
ZIP 49120
JORDAN M WAGNER PA
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. JONATHAN ROBIN STEEN D.O.
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
AILEEN JO VITANGCOL M.D.
Pediatrics
2002 S 11TH ST
NILES, MI
ZIP 49120
LAKELAND MEDICAL PRACTICES
Clinic/Center
(Rural Health)
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. SHANNON KEITH TWIDDY M.D.
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
JOAN MADSEN NP
Nurse Practitioner
2002 S 11TH ST
NILES, MI
ZIP 49120
LAUREN-SHYLENE LUNA TOSCANO NP
Nurse Practitioner
2002 S 11TH ST
NILES, MI
ZIP 49120
ELIZABETH ANN MCGLOTHLIN M.D.
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
JAMES E STRYCKER MD
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
SANDRA QUINTERO LLMSW
Social Worker
2002 S 11TH ST
NILES, MI
ZIP 49120
ANGELA COLEMAN NP
Nurse Practitioner
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. CHRISTOPHER J HARVEY MD
Pediatrics
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. DANIEL M METZGER MD
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. LEANNE M MILLER MD
Pediatrics
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. DANIEL R JONES MD
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. BRAD S FERRARI MD
Family Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
LAKELAND COMMUNITY HOSPITAL WATERVLIET
Clinic/Center
(Rural Health)
2002 S 11TH ST
NILES, MI
ZIP 49120
DR. RICHARD L BARDIN MD
Internal Medicine
2002 S 11TH ST
NILES, MI
ZIP 49120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255367850, enumerated as an "individual" on June 24, 2006.
The provider is located at 2002 S 11TH ST NILES, MI 49120 and the phone number is (269) 687-0200.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to verify.
