LAKE HEALTH PHYSICIAN GROUP PAINESVILLE INTERNAL MEDICINE
NPI 1265765317
Internal Medicine in Painesville, OH

Q: What is Lake Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1265765317. It was assigned to this organization in the NPPES registry on September 8, 2009. The provider is doing business as Lake Health Physician Group Painesville Internal Medicine.

Q: What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 08, 2009

1223 MENTOR AVE, PAINESVILLE, OH 44077(440) 352-1818(440) 352-1895 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lake Health Physician Group Painesville Internal Medicine NPPES

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

LAKE HEALTH PHYSICIAN GROUP PAINESVILLE INTERNAL MEDICINE (NPI 1265765317) is a healthcare organization registered as an internal medicine in Painesville, Ohio and active in the NPI registry since September 2009. The organization lists Richard Cicero, Sr. Vp, Business Development, as its authorized official.

NPPES Registry Identity

NPI1265765317

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAKE HOSPITAL SYSTEM, INC.

Location Address1223 MENTOR AVEPainesville, OH 44077-1833

Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 352-1818 · Fax (440) 352-1895

Phone(440) 352-1818

Fax(440) 352-1895

Organization SubpartNo

Authorized OfficialRichard CiceroSr. Vp, Business Development · (440) 354-1739

Enumeration DateSeptember 8, 2009

Last NPPES UpdateApril 11, 2011

✔ NPI 1265765317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1223 MENTOR AVE, Painesville, OH 44077

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Other Names 1

Doing Business AsLake Health Physician Group Painesville Internal Medicine

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 Health Physician Group Painesville Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Lake Health Physician Group Painesville Internal Medicine, which bills Medicare for the services they deliver. Of these, 102 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115

Family Practice51

Internal Medicine20

Obstetrics/Gynecology16

Neurology12

General Surgery10

Pediatric Medicine10

Cardiovascular Disease (Cardiology)7

21 other specialties43

Nearest to this location (20)

See all 284

Carli Carnish, NP-C

Nurse Practitioner

NPI 1871910406

5301 E HEISLEY RD
Mentor, OH 44060

(440) 392-9550

✔ PECOS✔ Accepts Medicare2.0 mi

Anne Fisher, ANP

Nurse Practitioner

NPI 1811951262

5301 E HEISLEY RD
Mentor, OH 44060

(440) 392-9550

✔ PECOS✔ Accepts Medicare2.0 mi

Lillian Lopez, DO

Family Practice

NPI 1932312600

9500 MENTOR AVE STE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts Medicare2.3 mi

Richard Kucera, MD

Family Practice

NPI 1326015041

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS2.3 mi

John Allen, D.O.

Internal Medicine

NPI 1215514815

9500 MENTOR AVENUE SUITE 100
Mentor, OH 44060

(440) 898-1021

✔ PECOS✔ Accepts Medicare2.3 mi

Gordon Bodzin, M.D.

General Surgery

NPI 1053388637

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-1899

✔ PECOS✔ Accepts Medicare2.3 mi

Marc Dinga, MD

Pulmonary Disease

NPI 1760470751

9500 MENTOR AVEMUE SUITE 100
Mentor, OH 44060

(440) 255-5620

✔ PECOS2.3 mi

Timothy Pritchard, M.D.

Colorectal Surgery (Proctology)

NPI 1225126824

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-0377

✔ PECOS2.3 mi

David Reznick, M.D.

Critical Care (Intensivists)

NPI 1821380023

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-0377

✔ PECOS✔ Accepts Medicare2.3 mi

Bradley Webb, M.D.

Orthopedic Surgery

NPI 1639321615

9500 MENTOR AVENUE SUITE 210
Mentor, OH 44060

(440) 352-1711

✔ PECOS✔ Accepts Medicare2.3 mi

Michael Weisburger, M.D

Orthopedic Surgery

NPI 1811102940

9500 MENTOR AVE STE 210
Mentor, OH 44060

(440) 352-1711

✔ PECOS✔ Accepts Medicare2.3 mi

John Baniewicz, MD

Internal Medicine

NPI 1285740530

9485 MENTOR AVE STE 210
Mentor, OH 44060

(440) 205-5835

✔ PECOS✔ Accepts Medicare2.3 mi

Laura Cifra Bean, MD

Pediatric Medicine

NPI 1720194046

9485 MENTOR AVE #101
Mentor, OH 44060

(440) 205-5800

✔ PECOS2.3 mi

Diane Lester, MD

Pediatric Medicine

NPI 1043327125

9485 MENTOR AVENUE 101
Mentor, OH 44060

(440) 205-5800

✔ PECOS2.3 mi

Dean Pahr, D.O.

Anesthesiology

NPI 1417900473

9485 MENTOR AVE STE 200
Mentor, OH 44060

(440) 205-5799

✔ PECOS2.3 mi

Karen Grassie, M.D.

General Surgery

NPI 1417056516

7580 AUBURN RD SUITE 314
Concord Twp, OH 44077

(440) 352-0646

✔ PECOS✔ Accepts Medicare3.1 mi

Susan Kim, D.C.

Chiropractic

NPI 1215012257

8655 MARKET ST INTEGRATIVE MEDICINE 2ND FL
Mentor, OH 44060

(440) 255-5508

3.4 mi

Bridget Gallagher, MD

Gastroenterology

NPI 1568881167

8877 MENTOR AVE
Mentor, OH 44060

(440) 205-1225

✔ PECOS✔ Accepts Medicare3.5 mi

Kristen Eichorn, MD

Obstetrics/Gynecology

NPI 1750709150

8300 TYLER BLVD STE 300
Mentor, OH 44060

(440) 357-7100

✔ PECOS✔ Accepts Medicare4.2 mi

Daniel Weiss, MD FACP CDE

Endocrinology

NPI 1437148590

8300 TYLER BOULEVARD SUITE 102
Mentor, OH 44060

(440) 266-5000

✔ PECOS✔ Accepts Medicare4.2 mi

See all 284 clinicians

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 Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1265765317. It was assigned to this organization in the NPPES registry on September 8, 2009. The provider is doing business as Lake Health Physician Group Painesville Internal Medicine.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 1223 Mentor Ave, Painesville, OH 44077. The listed phone number is (440) 352-1818.

What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lake Hospital System, Inc. enrolled in Medicare?

Yes. Lake Hospital System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System, 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 (115), Family Practice (51) and Internal Medicine (20). Of these, 102 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 Lake Hospital System, Inc. was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.