DR. MARIO LAVELANET M.D.
NPI 1972583953
Internal Medicine in Cambria Heights, NY

Q: What is Mario Lavelanet's NPI number?

The NPI number for Mario Lavelanet is 1972583953. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Mario Lavelanet's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mario Lavelanet was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment

11751 220TH ST, CAMBRIA HEIGHTS, NY 11411(718) 723-4303 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mario Lavelanet M.d. NPPES

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

DR. MARIO LAVELANET M.D. (NPI 1972583953) is an individual internal medicine provider in Cambria Heights, New York, licensed in New York (190765) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1972583953

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARIO LAVELANETCredential: M.D.

Location Address11751 220TH STCambria Heights, NY 11411-1608

Mailing Address8039 159th StJamaica, NY 11432-1103 · (718) 969-2367 · Fax (718) 969-5084

Phone(718) 723-4303

Sole ProprietorYes

Medical School CMSOtherGraduated 1976

Enumeration DateJanuary 18, 2006

Last NPPES UpdateJuly 8, 2014

✔ NPI 1972583953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 190765

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.

11751 220TH ST, Cambria Heights, NY 11411

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Other Identifiers 3

Medicaid01616568NY

Medicare UPINF51516NY

Medicare ID-Type Unspecified07009NY

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

Dr. Mario Lavelanet 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 ID4880642826

PECOS Enrollment IDI20050106000677

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

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

Cambria Health Medical, P.C.

Same address

Internal Medicine

11751 220TH ST
Cambria Heights, NY 11411

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Cambria Health Medical PC

NPI 1174912240 (718) 723-4303

Nyc Medical Doctor P.C.

7.8 mi

Geriatric Medicine

699 STANLEY AVE STE B
Brooklyn, NY 11207

Reassigned Medicare billing, New York enrollment
17 clinicians in this Medicare group

NPI 1831489798 (347) 689-8880

Bay Ridge Medical Group, PLLC

15 mi

Interventional Cardiology

7404 5TH AVE
Brooklyn, NY 11209

Reassigned Medicare billing, New York enrollment
11 clinicians in this Medicare group

NPI 1245097989 (929) 415-8856

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

Areas of Expertise CMS Part B claims 3

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.

61 services39 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

30 services30 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.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11411 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 2

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,528 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$23.59 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 2

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

CAMBRIA HEALTH MEDICAL, P.C.

Internal Medicine

11751 220TH ST
CAMBRIA HEIGHTS, NY 11411

Queens County (718) 723-4303

SHERLY T PHILOGENE

Licensed Practical Nurse

11751 220TH ST
CAMBRIA HEIGHTS, NY 11411

Queens County (718) 712-6004

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 Mario Lavelanet's NPI number?

The NPI number for Mario Lavelanet is 1972583953. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Mario Lavelanet located?

Mario Lavelanet practices at 11751 220th St, Cambria Heights, NY 11411. The listed phone number is (718) 723-4303.

What is Mario Lavelanet's specialty?

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

Is Mario Lavelanet enrolled in Medicare?

Yes. Mario Lavelanet 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 Mario Lavelanet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Lavelanet reassigns Medicare benefits to 3 organizations: Cambria Health Medical, P.C. (Cambria Heights, NY), Nyc Medical Doctor P.C. (Brooklyn, NY) and Bay Ridge Medical Group, PLLC (Brooklyn, 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 Mario Lavelanet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mario Lavelanet was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.