LAKE REGIONAL HEALTH SYSTEM
NPI 1053581454
Emergency Medicine - Emergency Medical Services in Osage Beach, MO

Active since March 03, 2008CLIA Certified · 3 labs
54 HOSPITAL DR, OSAGE BEACH, MO 65065(573) 348-8000(573) 348-8069 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Regional Health System NPPES

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

LAKE REGIONAL HEALTH SYSTEM (NPI 1053581454) is a healthcare organization registered as an emergency medical services in Osage Beach, Missouri and active in the NPI registry since March 2008. The organization holds 3 active CLIA laboratory certificates and lists Kevin Mcroberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053581454
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameLAKE REGIONAL HEALTH SYSTEM
Location Address54 HOSPITAL DROsage Beach, MO 65065-3050
Mailing AddressPo Box 801661Kansas City, MO 64180-3050 · (573) 348-8000
Fax(573) 348-8069
Organization SubpartNo
Authorized OfficialKevin McrobertsCeo · (573) 348-8756
Enumeration DateMarch 3, 2008
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
NPI 1053581454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in MO · 291-30
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 291-30 (MO)
54 HOSPITAL DR, Osage Beach, MO 65065

Other Identifiers 1

Medicaid540671609MO

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

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 26D0445938

Lake Regional Health System Laboratory · Osage Beach, MO
Active · expires Jan 2, 2027
CLIA Number26D0445938
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Steven J. Haas
Laboratory Phone(573) 348-8298
Laboratory LocationLake Regional Health System Laboratory54 Hospital Drive, Osage Beach, MO 65065
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 26D1048547

Lake Regional Health System - Imaging Center · Osage Beach, MO
Active · expires Feb 3, 2028
CLIA Number26D1048547
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorJoanne B. Reed
Laboratory Phone(573) 348-6161
Laboratory LocationLake Regional Health System - Imaging Center1075 Nichols Road, Osage Beach, MO 65065
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D1072191

Lake Regional Health System - Urology · Osage Beach, MO
Active · expires Jul 17, 2027
CLIA Number26D1072191
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorJoan M. Hanff
Laboratory Phone(573) 302-3111
Laboratory LocationLake Regional Health System - Urology1029 Nichols Road, Osage Beach, MO 65065
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Clinical Exercise Physiologist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Specialist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Physician Assistant
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Internal Medicine (Pulmonary Disease)
54 HOSPITAL DR, SUITE 205
OSAGE BEACH, MO 65065
Physical Therapist (Hand)
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Dietitian, Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Nurse Anesthetist, Certified Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065

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 Lake Regional Health System's NPI number?

The NPI number for Lake Regional Health System is 1053581454. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is Lake Regional Health System located?

Lake Regional Health System is located at 54 Hospital Dr, Osage Beach, MO 65065. The listed phone number is (573) 348-8000.

What is Lake Regional Health System's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Does Lake Regional Health System hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lake Regional Health System accept?

Health plans from Anthem Blue Cross and Blue Shield list Lake Regional Health System 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 Lake Regional Health System was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.