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LAKE MEDICAL GROUP
NPI 1003012279
Internal Medicine in Pueblo, CO

Active since June 25, 2007
2001 LAKE AVE, PUEBLO, CO 81004(719) 564-0300(719) 564-0303 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MEDICAL GROUP (NPI 1003012279) is a healthcare organization registered as an internal medicine in Pueblo, Colorado and active in the NPI registry since June 2007. The organization lists Melchor Sipalay, Owner, as its authorized official.

NPPES Registry Identity

NPI1003012279
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMELCHOR SIPALAY MD LLC
Location Address2001 LAKE AVEPueblo, CO 81004-3538
Mailing Address2001 Lake AvePueblo, CO 81004-3538 · (719) 564-0300 · Fax (719) 564-0303
Phone(719) 564-0300
Fax(719) 564-0303
Organization SubpartNo
Authorized OfficialMelchor SipalayOwner · (719) 564-0300
Enumeration DateJune 25, 2007
Last NPPES UpdateMay 16, 2008
✔ NPI 1003012279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · 38338
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2001 LAKE AVE, Pueblo, CO 81004
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Other Names 1

Doing Business AsLake Medical Group

Other Identifiers 3

Medicare PINC475348CO
Medicare UPINH14258CO
Medicaid56483872CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYRA K HOOTMAN DO
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
LARRY D WALLS MD PROF LLC
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
KYRA HOOTMAN DO PC
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
KRYSTAL J HOLDERNESS NAKAMURA M.D.
Dermatology
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-5544
INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC
Clinic/Center
2001 LAKE AVE, SUITE 2
PUEBLO, CO 81004
Pueblo County (719) 582-8425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melchor Sipalay MD LLC's NPI number?

The NPI number for Melchor Sipalay MD LLC is 1003012279. It was assigned to this organization in the NPPES registry on June 25, 2007. The provider is doing business as Lake Medical Group.

Where is Melchor Sipalay MD LLC located?

Melchor Sipalay MD LLC is located at 2001 Lake Ave, Pueblo, CO 81004. The listed phone number is (719) 564-0300.

What is Melchor Sipalay MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Melchor Sipalay MD LLC was last updated on May 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.