LAKEWAY MEDICAL CLINIC, LLC
NPI 1265190235
Family Medicine in Lakeway, TX

Active since December 07, 2021
1008 RANCH ROAD 620 S, LAKEWAY, TX 78734(512) 714-9602 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeway Medical Clinic, Llc NPPES

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

LAKEWAY MEDICAL CLINIC, LLC (NPI 1265190235) is a healthcare organization registered as a family medicine in Lakeway, Texas and active in the NPI registry since December 2021. The organization lists Alex Cobarrubias, Manager, as its authorized official.

NPPES Registry Identity

NPI1265190235
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKEWAY MEDICAL CLINIC, LLC
Location Address1008 RANCH ROAD 620 SLakeway, TX 78734-5631
Mailing Address1008 Ranch Road 620 SLakeway, TX 78734-5631 · (512) 714-9602
Organization SubpartNo
Authorized OfficialAlex CobarrubiasManager · (713) 551-3455
Enumeration DateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1265190235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1008 RANCH ROAD 620 S, Lakeway, TX 78734

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Lakeway Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Lakeway Medical Clinic, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1780396705
2000 SCENIC DR
Georgetown, TX 78626
(512) 942-4104
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1598411779
17 OLD SAN ANTONIO RD
Boerne, TX 78006
(830) 267-4575
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1366192973
8739 DAVIS BLVD STE 100
Keller, TX 76248
(817) 476-1226
✔ PECOS✔ Accepts Medicare182 mi
Nurse Practitioner
NPI 1255612537
8739 DAVIS BLVD STE 100
Keller, TX 76248
(817) 476-1226
✔ PECOS✔ Accepts Medicare182 mi
Nurse Practitioner
NPI 1134584089
7515 GREENVILLE AVE STE 1010
Dallas, TX 75231
(469) 283-3300
✔ PECOS✔ Accepts Medicare188 mi
Nurse Practitioner
NPI 1710798160
9925 GILLESPIE DR STE 4100
Plano, TX 75025
(214) 891-5460
✔ PECOS✔ Accepts Medicare203 mi
Internal Medicine
NPI 1568690279
100 E ALTON GLOOR BLVD
Brownsville, TX 78526
(956) 518-1016
✔ PECOS✔ Accepts Medicare303 mi

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 Lakeway Medical Clinic, LLC's NPI number?

The NPI number for Lakeway Medical Clinic, LLC is 1265190235. It was assigned to this organization in the NPPES registry on December 7, 2021.

Where is Lakeway Medical Clinic, LLC located?

Lakeway Medical Clinic, LLC is located at 1008 Ranch Road 620 S, Lakeway, TX 78734. The listed phone number is (512) 714-9602.

What is Lakeway Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lakeway Medical Clinic, LLC enrolled in Medicare?

Yes. Lakeway Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeway Medical Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Lakeway Medical Clinic, 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 Nurse Practitioner (6) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeway Medical Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Lakeway Medical Clinic, 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 Lakeway Medical Clinic, LLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.