LAKE OBSTETRICS AND GYNECOLOGY, INC – Obstetrics & Gynecology Physician, NPI 1811950447
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAKE OBSTETRICS AND GYNECOLOGY, INC
9500 Mentor Ave
Mentor, OH 440608713
Phone: (440) 357-7100
Fax: (440) 357-8132
Type: Location
6270 N Ridge Rd
Madison, OH 440572567
Phone: (440) 357-7100
Fax: (440) 357-8132
Type: Location
7580 Auburn Rd Ste 313
Concord Twp, OH 440779618
Phone: (440) 352-0688
Fax: (440) 352-3724
Type: Location
8300 TYLER BLVD STE 300
MENTOR, OH 440604251
Phone: (440) 357-7100
Fax: (440) 357-8136
Type: Mailing
Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States
MENTOR, OH 440608714
Phone: (440) 357-7100
Fax: (440) 357-8132
Type: Mailing
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: 2006-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (280 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060411000247 | O | Clinic/Group Practice | OH | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44060)
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