DR. MATT SPENCER LALLAS M.D.
NPI 1700170180
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Miami, FL

Q: What is Matt Lallas's NPI number?

The NPI number for Matt Lallas is 1700170180. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Q: What is Matt Lallas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Matt Lallas was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2011PECOS Enrolled

3200 SW 60TH CT STE 302, MIAMI, FL 33155(954) 371-0107 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2022, Mar 25, 2021, Jun 24, 2020 and 1 more (4 updates tracked since 2020).

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About Dr. Matt Spencer Lallas M.d. NPPES

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

DR. MATT SPENCER LALLAS M.D. (NPI 1700170180) is an individual neurology with special qualifications in child neurology provider in Miami, Florida, licensed in Florida (ME118674) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700170180

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameDR. MATT SPENCER LALLASCredential: M.D.

Location Address3200 SW 60TH CT STE 302Miami, FL 33155-4071

Mailing Address3200 Sw 60th Ct Ste 302Miami, FL 33155-4071 · (305) 662-8330

Phone(954) 371-0107

Sole ProprietorNo

Enumeration DateJune 3, 2011

Last NPPES UpdateJuly 14, 20224 updates tracked since enumeration

NPPES CertifiedJuly 14, 2022

✔ NPI 1700170180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Licenses✔ Licensed in FL · ME118674✔ Licensed in CA · A116424

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License A116424 (CA), ME118674 (FL)

3200 SW 60TH CT STE 302, Miami, FL 33155

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Other Identifiers 1

Medicaid014784900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matt Spencer Lallas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Other Providers at the Same Location NPPES 18

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

PATRICIA CORREA MSN, RN, CPNP-AC

Nurse Practitioner (Pediatrics, Critical Care)

3200 SW 60TH CT STE 302, STE 302
MIAMI, FL 33155

Miami-Dade County (305) 662-8330

DR. MIGVIS MONDUY M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)