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LAKE PODIATRY, PC
NPI 1063449346
Podiatrist - Foot & Ankle Surgery in South Haven, MI

Active since June 26, 2006
10570 BLUE STAR M HWY, SOUTH HAVEN, MI 49090(269) 978-3385(269) 978-2711 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Podiatry, Pc NPPES

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

LAKE PODIATRY, PC (NPI 1063449346) is a healthcare organization registered as a foot & ankle surgery in South Haven, Michigan and active in the NPI registry since June 2006. The organization lists Raziuddin Ahmed, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1063449346
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE PODIATRY, PC
Location Address10570 BLUE STAR M HWYSouth Haven, MI 49090-8923
Mailing Address10570 Blue Star M HwySouth Haven, MI 49090-8923 · (269) 978-3385 · Fax (269) 978-2711
Phone(269) 978-3385
Fax(269) 978-2711
Organization SubpartNo
Authorized OfficialRaziuddin AhmedPresident & Ceo · (818) 518-6768
Enumeration DateJune 26, 2006
Last NPPES UpdateMay 29, 2009
✔ NPI 1063449346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5901002029
10570 BLUE STAR M HWY, South Haven, MI 49090
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified0P35320MI
Medicaid4952336MI
Medicare NSC6182430001MI
OtherDF2298MI · Railroad Medicare

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 3

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

SOUTHWEST FAMILY FOOTCARE SPECIALIST, LLC
Podiatrist (Foot & Ankle Surgery)
10570 BLUE STAR M HWY
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-1115
DR. REGINA LYNNE SPEARS D.P.M.
Podiatrist
10570 BLUE STAR M HWY
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-1115
RAZIUDDIN AHMED DPM
Podiatrist
10570 BLUE STAR M HWY
SOUTH HAVEN, MI 49090
Van Buren County (269) 978-3385

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 Podiatry, PC's NPI number?

The NPI number for Lake Podiatry, PC is 1063449346. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Lake Podiatry, PC located?

Lake Podiatry, PC is located at 10570 Blue Star M Hwy, South Haven, MI 49090. The listed phone number is (269) 978-3385.

What is Lake Podiatry, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Lake Podiatry, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Lake Podiatry, 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 Lake Podiatry, PC was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.