Lake Mi Mobile Doctors, P.C.
NPI 1992057566ActiveOrganization· Internal Medicine, Geriatric Medicine· Saint Louis, MO
Internal Medicine, Geriatric Medicine in Saint Louis, Missouri, registered in NPPES in October 2012. The authorized official on file is Tysyn Contreras, Director Of Quality Assurance.
Overview
| NPI | 1992057566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2012 |
| Last updated in NPPES | Oct 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Podiatrist | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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