LAKESIDE ORTHOPEDIC INSTITUTE, LLC
NPI 1023349511
Orthopaedic Surgery in Parker, AZ
About Lakeside Orthopedic Institute, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE ORTHOPEDIC INSTITUTE, LLC (NPI 1023349511) is a healthcare organization registered as an orthopaedic surgery in Parker, Arizona and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through September 14, 2028 and lists William F. Binder, Partner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Orthopedic Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Lakeside Orthopedic Institute, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2256625
Lakeside Orthopedic Inst LLC · Lake Havasu City, AZFrequently 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 Lakeside Orthopedic Institute, LLC's NPI number?
The NPI number for Lakeside Orthopedic Institute, LLC is 1023349511. It was assigned to this organization in the NPPES registry on January 22, 2010.
Where is Lakeside Orthopedic Institute, LLC located?
Lakeside Orthopedic Institute, LLC is located at 1016 S Joshua Ave., Parker, AZ 85344. The listed phone number is (928) 505-5555.
What is Lakeside Orthopedic Institute, LLC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Lakeside Orthopedic Institute, LLC enrolled in Medicare?
Yes. Lakeside Orthopedic Institute, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Orthopedic Institute, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to Lakeside Orthopedic Institute, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (4), Orthopedic Surgery (3) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakeside Orthopedic Institute, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2256625) is associated with this NPI, valid through September 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lakeside Orthopedic Institute, LLC was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lakeside Orthopedic Institute, Llc · NPI 1023349511
Orthopaedic Surgery organization in Parker, Arizona. Organization record, active in the CMS NPPES registry since January 22, 2010.
## Identity
- **NPI:** 1023349511 (Entity type: Organization)
- **Enumerated:** January 22, 2010
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** William Binder, PARTNER/PRESIDENT
## Practice location
- **Address:** 1016 S JOSHUA AVE., Parker, AZ 85344-5027
- **Phone:** (928) 505-5555 · **Fax:** (928) 505-2877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (4), Orthopedic Surgery (3), Nurse Practitioner (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2011
- **Other identifiers:** Other 5924960004 (AZ); Medicare PIN Z110835 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023349511) · Data from the CMS NPPES public registry.