DR. MICHELE ALISA DI LAURO (MD) – Family Medicine Physician, NPI 1891769808

DR. MICHELE ALISA DI LAURO (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD437131 (PA). The NPI Number for DR. MICHELE ALISA DI LAURO (MD) is 1891769808

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELE ALISA DI LAURO (MD)
NPI
1891769808
Phone
(215) 879-6116
Address
5000 Parkside Ave
Enumeration Date
15 February 2006
Last Update Date
5 March 2019

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
7023833645
Graduation Year
1998 (28 years ago)
PAC ID
7719963776
Group Practice PAC ID
7315934429
Professional Enrollment ID
I20040629000801
Address ID
NV891033135LA4180XBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for DR. MICHELE ALISA DI LAURO (MD)

  • 5000 Parkside Ave

    Philadelphia, PA 191314714

    Phone: (215) 879-6116

    Fax: (215) 477-2041

    Type: Location

  • 508, West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89102, United States

    LAS VEGAS, NV 89102

    Phone: (702) 383-2688

    Fax: (702) 671-6595

    Type: Mailing

  • 4180 S. RAINBOW BLVD. SUITE 810

    LAS VEGAS, NV 89103

    Phone: (702) 383-3645

    Fax: (702) 227-8429

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040629000801IFamily PracticeNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4949$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
81002Urinalysis, manual test1313$0
View full utilization report →

Insurance plans in this area (ZIP 19131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315934429View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHELE ALISA DI LAURO (MD) in U.S. healthcare records?
The official identifier for DR. MICHELE ALISA DI LAURO (MD) is NPI 1891769808.
Would DR. MICHELE ALISA DI LAURO (MD) appear as active to a payer?
You can treat DR. MICHELE ALISA DI LAURO (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MICHELE ALISA DI LAURO (MD)?
At a glance, DR. MICHELE ALISA DI LAURO (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHELE ALISA DI LAURO (MD) located near Philadelphia?
DR. MICHELE ALISA DI LAURO (MD) currently maps to Philadelphia, Pennsylvania in this extract.
Can I trust this NPI listing for DR. MICHELE ALISA DI LAURO (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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