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MICHAEL PAUL LAVELLE JR. M.D.
NPI 1699138263
Internal Medicine - Cardiovascular Disease in New York, NY

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
622 W 168TH ST, NEW YORK, NY 10032(212) 305-5138(212) 305-2843 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2025, Jul 31, 2019, May 2, 2019 and 1 more (4 updates tracked since 2016).

About Michael Paul Lavelle Jr. M.d. NPPES

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

MICHAEL PAUL LAVELLE JR. M.D. (NPI 1699138263) is an individual cardiovascular disease provider in New York, New York, licensed in New York (294302) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699138263
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL PAUL LAVELLE JR.Credential: M.D.
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address177 Fort Washington AveNew York, NY 10032-3733 · (212) 305-9940 · Fax (212) 305-2843
Phone(212) 305-5138
Fax(212) 305-2843
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1699138263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 294302
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 294302 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 294302 (NY)
622 W 168TH ST, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Paul Lavelle Jr. M.d. 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 ID143553552
PECOS Enrollment IDI20190617002029
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Lavelle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of Columbia University In The City Of New York
Same address
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982993184 (New York)
  • 3,922 clinicians in this Medicare group
NPI 1508266347 (646) 317-7111
Chs Physician Partners, PC
10 mi
Interventional Cardiology
16303 HORACE HARDING EXPY, SUITE 100
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 944 clinicians in this Medicare group
NPI 1407089345 (718) 454-4600
St Francis Hospital
14 mi
General Acute Care Hospital
100 PORT WASHINGTON BLVD
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
NPI 1205984580 (516) 338-5358

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262
SAAGAR MADHAV PANDE
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100

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 Michael Lavelle's NPI number?

The NPI number for Michael Lavelle is 1699138263. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Michael Lavelle located?

Michael Lavelle practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-5138.

What is Michael Lavelle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Lavelle enrolled in Medicare?

Yes. Michael Lavelle 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.

Which organizations bill Medicare for Michael Lavelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lavelle reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Chs Physician Partners, PC (Fresh Meadows, NY) and St Francis Hospital (Roslyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Lavelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Lavelle affiliated with any hospitals?

According to CMS data, Michael Lavelle is affiliated with New York-Presbyterian Hospital and St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Michael Lavelle was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.