LAKESHORE HOME VISITING PHYSICIANS
NPI 1063152734
Home Health in Chicago, IL

Q: What is Lakeshore Home Visiting Physicians's NPI number?

The NPI number for Lakeshore Home Visiting Physicians is 1063152734. It was assigned to this organization in the NPPES registry on March 31, 2022.

Q: What is Lakeshore Home Visiting Physicians's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since March 31, 2022

5232 N SHERIDAN RD, CHICAGO, IL 60640(773) 654-3326 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lakeshore Home Visiting Physicians NPPES

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

LAKESHORE HOME VISITING PHYSICIANS (NPI 1063152734) is a healthcare organization registered as a home health in Chicago, Illinois and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Chicago and lists Arnette Mckenzie, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1063152734

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameLAKESHORE HOME VISITING PHYSICIANS

Location Address5232 N SHERIDAN RDChicago, IL 60640-2513

Mailing Address5232 N Sheridan RdChicago, IL 60640-2513 · (773) 654-3326

Phone(773) 654-3326

Organization SubpartNo

Authorized OfficialArnette MckenzieOwner/operator · (773) 654-3326

Enumeration DateMarch 31, 2022

Last NPPES UpdateJanuary 2, 2023

NPPES CertifiedJanuary 2, 2023

✔ NPI 1063152734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

5232 N SHERIDAN RD, Chicago, IL 60640

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Secondary Practice Location 1

Location 14339 S Michigan Ave Apt 2NChicago, IL 60653-5258 · Phone (312) 983-0583

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 Home Visiting Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeshore Home Visiting Physicians, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Rudyard Smith, M.D.

Internal Medicine

NPI 1295784031

1514 E 87TH ST
Chicago, IL 60619

(773) 978-0757

✔ PECOS17 mi

Olusoji Peter, M.D.

Internal Medicine

NPI 1225018203

11000 S HALSTED ST
Chicago, IL 60628

(219) 750-9389

✔ PECOS20 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 Home Visiting Physicians's NPI number?

The NPI number for Lakeshore Home Visiting Physicians is 1063152734. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Lakeshore Home Visiting Physicians located?

Lakeshore Home Visiting Physicians is located at 5232 N Sheridan Rd, Chicago, IL 60640. The listed phone number is (773) 654-3326.

What is Lakeshore Home Visiting Physicians's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Lakeshore Home Visiting Physicians enrolled in Medicare?

Yes. Lakeshore Home Visiting Physicians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Home Visiting Physicians?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Lakeshore Home Visiting Physicians. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeshore Home Visiting Physicians was last updated on January 2, 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.