Lake Regional Medical Management, Inc.
NPI 1639134158ActiveOrganization· Clinic/Center, Multi-Specialty· Osage Beach, MO
Clinic/Center, Multi-Specialty in Osage Beach, Missouri, registered in NPPES in April 2006. The authorized official on file is Kevin McRoberts, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639134158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2006 |
| Last updated in NPPES | Nov 4, 2024 |
| Certified by provider | Nov 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|