LAKESHORE EAR NOSE AND THROAT CENTER PC
NPI 1033202023
Otolaryngology in Saint Clair Shores, MI

Active since October 02, 2006
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeshore Ear Nose And Throat Center Pc NPPES

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

LAKESHORE EAR NOSE AND THROAT CENTER PC (NPI 1033202023) is a healthcare organization registered as an otolaryngology in Saint Clair Shores, Michigan and active in the NPI registry since October 2006. The organization lists Daniel Dj Megler, President Chief Executive Office, as its authorized official.

NPPES Registry Identity

NPI1033202023
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLAKESHORE EAR NOSE AND THROAT CENTER PC
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Suite 111Saint Clair Shores, MI 48081-1116 · (586) 779-7610
Organization SubpartNo
Authorized OfficialDaniel Dj MeglerPresident Chief Executive Office · (586) 779-7610
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 12, 2007
✔ NPI 1033202023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
21000 E 12 MILE RD, Saint Clair Shores, MI 48081

Other Identifiers 3

Other0E01107Blue Shield
Medicare PIN0M97590
Other0E06192Blue Shield Group

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeshore Ear Nose And Throat Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Lakeshore Ear Nose And Throat Center PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Otolaryngology14
Nurse Practitioner2
Qualified Audiologist2
Allergy/Immunology1

Clinicians, nearest first (19)

Otolaryngology
NPI 1295828358
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS15 mi
Otolaryngology
NPI 1881786341
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS15 mi
Otolaryngology
NPI 1003903832
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1922190552
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7640
✔ PECOS15 mi
Nurse Practitioner
NPI 1801331210
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1982796488
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS15 mi
Otolaryngology
NPI 1902293129
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS✔ Accepts Medicare15 mi
Qualified Audiologist
NPI 1225928708
11080 HALL RD STE A
Sterling Heights, MI 48314
(586) 254-0033
15 mi
Otolaryngology
NPI 1063049468
11080 HALL RD STE A
Sterling Heights, MI 48314
(586) 254-7200
✔ PECOS✔ Accepts Medicare15 mi
Qualified Audiologist
NPI 1366235327
11080 HALL RD
Sterling Heights, MI 48314
(586) 254-0033
✔ Accepts Medicare15 mi
Otolaryngology
NPI 1902883218
11080 HALL RD SUITE A
Sterling Heights, MI 48314
(586) 254-7200
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1164413035
11080 HALL RD STE A
Sterling Heights, MI 48314
(586) 254-7200
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1225284763
11080 HALL RD SUITE A
Sterling Heights, MI 48314
(586) 254-7200
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1255322129
11080 HALL RD STE A
Sterling Heights, MI 48314
(586) 254-7200
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1114019627
21000 E 12 MILE RD SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
✔ PECOS✔ Accepts Medicare15 mi
Allergy/Immunology
NPI 1033596903
17770 MACK AVE
Grosse Pointe, MI 48230
(313) 885-6367
✔ PECOS✔ Accepts Medicare21 mi
Otolaryngology
NPI 1114122165
2251 N SQUIRREL RD
Auburn Hills, MI 48326
(248) 652-0044
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1992285324
2510 S TELEGRAPH RD
Bloomfield Hills, MI 48302
(248) 454-0442
✔ PECOS29 mi
Otolaryngology
NPI 1508329137
30055 NORTHWESTERN HWY STE 101
Farmington Hills, MI 48334
(248) 865-4444
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lakeshore Ear Nose And Throat Center PC's NPI number?

The NPI number for Lakeshore Ear Nose And Throat Center PC is 1033202023. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Lakeshore Ear Nose And Throat Center PC located?

Lakeshore Ear Nose And Throat Center PC is located at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Lakeshore Ear Nose And Throat Center PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Lakeshore Ear Nose And Throat Center PC enrolled in Medicare?

Yes. Lakeshore Ear Nose And Throat Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Ear Nose And Throat Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Lakeshore Ear Nose And Throat Center PC. 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 Otolaryngology (14), Nurse Practitioner (2) and Qualified Audiologist (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeshore Ear Nose And Throat Center PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Ear Nose And Throat Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Ear Nose And Throat Center PC was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.