LAKESIDE ORTHOPEDIC INSTITUTE, LLC
NPI 1245965581
Orthopaedic Surgery in Bullhead City, AZ
About Lakeside Orthopedic Institute, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE ORTHOPEDIC INSTITUTE, LLC (NPI 1245965581) is a healthcare organization registered as an orthopaedic surgery in Bullhead City, Arizona and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Bullhead City and lists Daniel Edward Heiner, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 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)
Lakeside Orthopedic Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Lakeside Orthopedic Institute, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (13)
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 Lakeside Orthopedic Institute, LLC's NPI number?
The NPI number for Lakeside Orthopedic Institute, LLC is 1245965581. It was assigned to this organization in the NPPES registry on July 20, 2022.
Where is Lakeside Orthopedic Institute, LLC located?
Lakeside Orthopedic Institute, LLC is located at 2440 Adobe Rd Ste 101, Bullhead City, AZ 86442. The listed phone number is (928) 505-5555.
What is Lakeside Orthopedic Institute, LLC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Lakeside Orthopedic Institute, LLC enrolled in Medicare?
Yes. Lakeside Orthopedic Institute, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Orthopedic Institute, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to Lakeside Orthopedic Institute, LLC. 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 Physical Therapist in Private Practice (4), Orthopedic Surgery (3) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeside Orthopedic Institute, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 18 other insurers list Lakeside Orthopedic Institute, LLC 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 Lakeside Orthopedic Institute, LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Lakeside Orthopedic Institute, Llc · NPI 1245965581
Orthopaedic Surgery organization in Bullhead City, Arizona. Organization record, active in the CMS NPPES registry since July 20, 2022.
## Identity
- **NPI:** 1245965581 (Entity type: Organization)
- **Enumerated:** July 20, 2022
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Heiner, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 2440 ADOBE RD STE 101, Bullhead City, AZ 86442-4486
- **Phone:** (928) 505-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (4), Orthopedic Surgery (3), Nurse Practitioner (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245965581) · Data from the CMS NPPES public registry.