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NPI · 1063449346 · NPPES-sourced

Lake Podiatry, PC

ActiveFoot & Ankle Surgery Podiatrist
NPI Number
1063449346
Type 2 · Organisation
Taxonomy Code
213ES0103X
Contact
(269) 978-3385
License MI · 5901002029
Last Updated
Enumerated
Primary practice addressMI · 49090-8923
10570 Blue Star M HwySouth Haven, MI 49090-8923
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About this NPIWhat this record shows.

NPI 1063449346 is registered to Lake Podiatry, PC, a healthcare organisation classified as "Foot & Ankle Surgery Podiatrist" and located at 10570 Blue Star M Hwy in South Haven, Michigan. The organisation's authorised official is Raziuddin Ahmed. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • DF2298MI· Issued by RAILROAD MEDICARE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lake Podiatry, PC accepts. To confirm in-network status with your specific health plan, contact Lake Podiatry, PC directly at (269) 978-3385.

Frequently asked

Yes. NPI 1063449346 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Foot & Ankle Surgery Podiatrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (269) 978-3385.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lake Podiatry, PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy213ES0103X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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2 records · same addressOther providers at this location.

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Same specialtyOther Foot & Ankle Surgery Podiatrist providers in Michigan.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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