LAKE SHORE MEDICAL ASSOCIATES, LTD.
NPI 1093703688
Clinic/Center in Chicago, IL

Active since October 08, 2005
2222 W DIVISION ST STE 116, CHICAGO, IL 60622(773) 525-7720(773) 525-9199 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Shore Medical Associates, Ltd. NPPES

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

LAKE SHORE MEDICAL ASSOCIATES, LTD. (NPI 1093703688) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since October 2005. The organization lists Vijayalakshmi Arekapudi, President, as its authorized official.

NPPES Registry Identity

NPI1093703688
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKE SHORE MEDICAL ASSOCIATES, LTD.
Location Address2222 W DIVISION ST STE 116Chicago, IL 60622-3093
Mailing Address2734 N Lincoln AveChicago, IL 60614-1321 · (773) 525-7720 · Fax (773) 525-9199
Fax(773) 525-9199
Organization SubpartNo
Authorized OfficialVijayalakshmi ArekapudiPresident · (773) 525-7720
Enumeration DateOctober 8, 2005
Last NPPES UpdateJune 3, 2016
✔ NPI 1093703688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
2222 W DIVISION ST STE 116, Chicago, IL 60622

Other Identifiers 1

OtherD5245-919-2IL · Il Corp File Number

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

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 Shore Medical Associates, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Shore Medical Associates, Ltd., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1982894762
2222 W DIVISION ST SUITE 116
Chicago, IL 60622
(773) 525-7720
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1285622878
2222 W DIVISION ST STE 116
Chicago, IL 60622
(773) 525-7720
✔ PECOS✔ Accepts MedicareSame address

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 Lake Shore Medical Associates, Ltd.'s NPI number?

The NPI number for Lake Shore Medical Associates, Ltd. is 1093703688. It was assigned to this organization in the NPPES registry on October 8, 2005.

Where is Lake Shore Medical Associates, Ltd. located?

Lake Shore Medical Associates, Ltd. is located at 2222 W Division St Ste 116, Chicago, IL 60622. The listed phone number is (773) 525-7720.

What is Lake Shore Medical Associates, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Lake Shore Medical Associates, Ltd. enrolled in Medicare?

Yes. Lake Shore Medical Associates, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Shore Medical Associates, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Lake Shore Medical Associates, Ltd.. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Shore Medical Associates, Ltd. was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.