LMC BUCYRUS MEDICAL
NPI 1174851893
Family Medicine in South Milwaukee, WI
About Lmc Bucyrus Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LMC BUCYRUS MEDICAL (NPI 1174851893) is a healthcare organization registered as a family medicine in South Milwaukee, Wisconsin and active in the NPI registry since November 2009. The organization lists Masood Wasiullah, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lmc Bucyrus Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
959Medicare enrollment records show 959 clinicians reassign Medicare billing to Lmc Bucyrus Medical, which bills Medicare for the services they deliver. Of these, 477 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 44
Nearest to this location (20)
See all 959South Milwaukee, WI 53172
Cudahy, WI 53110
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 Medical Clinic Ltd's NPI number?
The NPI number for Lakeshore Medical Clinic Ltd is 1174851893. It was assigned to this organization in the NPPES registry on November 19, 2009. The provider is doing business as Lmc Bucyrus Medical.
Where is Lakeshore Medical Clinic Ltd located?
Lakeshore Medical Clinic Ltd is located at 1100 Milwaukee Ave, South Milwaukee, WI 53172. The listed phone number is (414) 764-4003.
What is Lakeshore Medical Clinic Ltd's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lakeshore Medical Clinic Ltd enrolled in Medicare?
Yes. Lakeshore Medical Clinic Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeshore Medical Clinic Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 959 clinicians in 44 Medicare specialties reassign their Medicare billing to Lakeshore Medical Clinic 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. The largest specialties are Nurse Practitioner (250), Diagnostic Radiology (154) and Family Practice (141). Of these, 477 practice within 10 miles. 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 Medical Clinic Ltd was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Lmc Bucyrus Medical · NPI 1174851893
Family Medicine organization in South Milwaukee, Wisconsin. Organization record, active in the CMS NPPES registry since November 19, 2009.
## Identity
- **NPI:** 1174851893 (Entity type: Organization)
- **Enumerated:** November 19, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Lakeshore Medical Clinic Ltd
- **Organization subpart:** No
- **Authorized official:** Masood Wasiullah, PRESIDENT
## Practice location
- **Address:** 1100 MILWAUKEE AVE, South Milwaukee, WI 53172-2013
- **Phone:** (414) 764-4003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 959 clinicians in 44 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (250), Diagnostic Radiology (154), Family Practice (141); 477 practice within 10 miles; [full list](https://npiprofile.com/npi/1174851893/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2010
- **Other identifiers:** Medicare NSC 0458040025 (WI); Medicare PIN 000002120 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1174851893) · Data from the CMS NPPES public registry.