LAKESIDE GASTROENTEROLOGY AND LIVER SPECIALISTS, PLLC
NPI 1033439781
Internal Medicine - Gastroenterology in Conroe, TX
About Lakeside Gastroenterology And Liver Specialists, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE GASTROENTEROLOGY AND LIVER SPECIALISTS, PLLC (NPI 1033439781) is a healthcare organization registered as a gastroenterology in Conroe, Texas and active in the NPI registry since June 2010. The organization holds a CLIA Certificate of Compliance certificate valid through January 26, 2027 and lists Nelson A Tajong, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Gastroenterology And Liver Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Lakeside Gastroenterology And Liver Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
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 Compliance 45D2308010
Lakeside Gastroenterology And Liver Specialists PLLC · Conroe, TXFrequently 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 Gastroenterology And Liver Specialists, PLLC's NPI number?
The NPI number for Lakeside Gastroenterology And Liver Specialists, PLLC is 1033439781. It was assigned to this organization in the NPPES registry on June 4, 2010.
Where is Lakeside Gastroenterology And Liver Specialists, PLLC located?
Lakeside Gastroenterology And Liver Specialists, PLLC is located at 690 S Loop 336 W Ste 215, Conroe, TX 77304. The listed phone number is (936) 828-3962.
What is Lakeside Gastroenterology And Liver Specialists, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Lakeside Gastroenterology And Liver Specialists, PLLC enrolled in Medicare?
Yes. Lakeside Gastroenterology And Liver Specialists, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Gastroenterology And Liver Specialists, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Lakeside Gastroenterology And Liver Specialists, PLLC. 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 Certified Registered Nurse Anesthetist (CRNA) (4), Anesthesiology (2) and Nurse Practitioner (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakeside Gastroenterology And Liver Specialists, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 45D2308010) is associated with this NPI, valid through January 26, 2027. 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 Gastroenterology And Liver Specialists, PLLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Gastroenterology And Liver Specialists, Pllc · NPI 1033439781
Gastroenterology organization in Conroe, Texas. Organization record, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1033439781 (Entity type: Organization)
- **Enumerated:** June 4, 2010
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Nelson Tajong, OWNER
## Practice location
- **Address:** 690 S LOOP 336 W STE 215, Conroe, TX 77304-3322
- **Phone:** (936) 828-3962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (4), Anesthesiology (2), Nurse Practitioner (2); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033439781) · Data from the CMS NPPES public registry.