EDGEWATER HEALTH: LAKE STREET PEDIATRICS
NPI 1245907344
Clinic/Center - Federally Qualified Health Center (FQHC) in Gary, IN
About Edgewater Health: Lake Street Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWATER HEALTH: LAKE STREET PEDIATRICS (NPI 1245907344) is a healthcare organization registered as a federally qualified health center (fqhc) in Gary, Indiana and active in the NPI registry since August 2021. The organization lists Danita Johnson Hughes, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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)
Edgewater Health: Lake Street Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Edgewater Health: Lake Street Pediatrics, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 31Source: 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 Edgewater Systems For Balanced Living, Inc's NPI number?
The NPI number for Edgewater Systems For Balanced Living, Inc is 1245907344. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is doing business as Edgewater Health: Lake Street Pediatrics.
Where is Edgewater Systems For Balanced Living, Inc located?
Edgewater Systems For Balanced Living, Inc is located at 426 S Lake St, Gary, IN 46403. The listed phone number is (219) 939-6070.
What is Edgewater Systems For Balanced Living, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Edgewater Systems For Balanced Living, Inc enrolled in Medicare?
Yes. Edgewater Systems For Balanced Living, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edgewater Systems For Balanced Living, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 9 Medicare specialties reassign their Medicare billing to Edgewater Systems For Balanced Living, Inc. 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 (13), Clinical Social Worker (3) and Family Practice (3). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Edgewater Systems For Balanced Living, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Edgewater Systems For Balanced Living, Inc 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 Edgewater Systems For Balanced Living, Inc was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Edgewater Health: Lake Street Pediatrics · NPI 1245907344
Federally Qualified Health Center (FQHC) organization in Gary, Indiana. Organization record, active in the CMS NPPES registry since August 26, 2021.
## Identity
- **NPI:** 1245907344 (Entity type: Organization)
- **Enumerated:** August 26, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Edgewater Systems For Balanced Living, Inc
- **Organization subpart:** No
- **Authorized official:** Danita Hughes, CEO
## Practice location
- **Address:** 426 S LAKE ST, Gary, IN 46403-2405
- **Phone:** (219) 939-6070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Clinical Social Worker (3), Family Practice (3); 1 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1245907344/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245907344) · Data from the CMS NPPES public registry.