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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: October 25, 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
Phone(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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Lake Regional Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

149

Medicare enrollment records show 149 clinicians reassign Medicare billing to Lake Regional Health System, which bills Medicare for the services they deliver. Of these, 35 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner47
Psychiatry25
Family Practice13
Internal Medicine12
Obstetrics/Gynecology8
Orthopedic Surgery8
Pediatric Medicine5
Radiation Oncology5
18 other specialties26

Nearest to this location (20)

See all 149
Jeanne Abbott, DO
Preventive Medicine
NPI 1669467221
54 HOSPITAL DR SUITE 102
Osage Beach, MO 65065
(573) 348-8045
✔ PECOSSame address
Tania Beltran-Papsdorf, MD
Neurology
NPI 1053571760
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-3999
✔ PECOS✔ Accepts MedicareSame address
David Bergthold, MSN-ACNP
Nurse Practitioner
NPI 1336331065
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-2287
✔ PECOS✔ Accepts MedicareSame address
Joshua Brickner, D.O.
Internal Medicine
NPI 1598994493
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-2287
✔ PECOS✔ Accepts MedicareSame address
Lyndsay Funke, FNP
Nurse Practitioner
NPI 1164177069
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-3199
✔ PECOS✔ Accepts MedicareSame address
Zubair Khan, MD
Cardiovascular Disease (Cardiology)
NPI 1861491854
54 HOSPITAL DR SUITE 225
Osage Beach, MO 65065
(573) 302-4406
✔ PECOSSame address
Justin Malone, M.D.
Neurology
NPI 1689895534
54 HOSPITAL DRIVE
Osage Beach, MO 65065
(573) 302-2714
✔ PECOS✔ Accepts MedicareSame address
Robyn Mchugh, CNM, CPM
Certified Nurse Midwife (CNM)
NPI 1578810230
54 HOSPITAL DR STE 201
Osage Beach, MO 65065
(573) 302-2764
✔ PECOS✔ Accepts MedicareSame address
Patrick Oneil, D.O.
Family Practice
NPI 1508997636
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-2287
✔ PECOS✔ Accepts MedicareSame address
John Patton, DO
General Surgery
NPI 1194737346
54 HOSPITAL DR STE 205
Osage Beach, MO 65065
(573) 302-2299
✔ PECOS✔ Accepts MedicareSame address
Victor Phillips, M.D.
Vascular Surgery
NPI 1831131762
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 348-8000
✔ PECOS✔ Accepts MedicareSame address
Jacob Quick, M.D.
Critical Care (Intensivists)
NPI 1649431941
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-2299
✔ PECOS✔ Accepts MedicareSame address
Andrew Revelle, D.O
Internal Medicine
NPI 1528314275
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-2287
✔ PECOS✔ Accepts MedicareSame address
Harbaksh Sangha, MD
Critical Care (Intensivists)
NPI 1629170741
54 HOSPITAL DR STE 225
Osage Beach, MO 65065
(573) 302-2762
✔ PECOS✔ Accepts MedicareSame address
Harjyot Sohal, MD
Pulmonary Disease
NPI 1962468520
54 HOSPITAL DR STE 213
Osage Beach, MO 65065
(573) 302-3199
✔ PECOS✔ Accepts MedicareSame address
Amy Thompson, M.D.
Obstetrics/Gynecology
NPI 1457454704
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-2764
✔ PECOS✔ Accepts MedicareSame address
Kimber Guinn, DO
Pediatric Medicine
NPI 1962853986
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 348-8000
✔ PECOSSame address
Molly Johnson, MD
Emergency Medicine
NPI 1326543661
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 348-8000
✔ PECOS✔ Accepts MedicareSame address
Julia Ansari, M.D.
Interventional Cardiology
NPI 1780846881
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 302-4406
✔ PECOS✔ Accepts MedicareSame address
Mohammad Malik, MD
Nephrology
NPI 1174701411
54 HOSPITAL DR
Osage Beach, MO 65065
(573) 348-8000
✔ PECOS✔ Accepts MedicareSame address
See all 149 clinicians

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 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.

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.

Is Lake Regional Health System enrolled in Medicare?

Yes. Lake Regional Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Regional Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 26 Medicare specialties reassign their Medicare billing to Lake Regional Health System. 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 Nurse Practitioner (47), Psychiatry (25) and Family Practice (13). Of these, 35 practice at this address and 70 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 3 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.