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LAKE HOSPITAL SYSTEM, INC.
NPI 1316198724
Family Medicine in Concord Township, OH

Active since October 03, 2008
7580 AUBURN ROAD, SUITE 202, CONCORD TOWNSHIP, OH 44077(440) 352-0400(440) 352-4535 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Lake Hospital System, Inc. NPPES

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

LAKE HOSPITAL SYSTEM, INC. (NPI 1316198724) is a healthcare organization registered as a family medicine in Concord Township, Ohio and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Concord Twp and lists Robert B Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316198724
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE HOSPITAL SYSTEM, INC.
Location Address7580 AUBURN ROAD, SUITE 202Concord Township, OH 44077
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 354-1899 · Fax (440) 354-1089
Phone(440) 352-0400
Fax(440) 352-4535
Organization SubpartYes
Authorized OfficialRobert B TraczChief Financial Officer · (440) 354-1642
Enumeration DateOctober 3, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1316198724 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.
7580 AUBURN ROAD, Concord Township, OH 44077
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Secondary Practice Location 1

Location 17580 Auburn Rd Ste 214Concord Twp, OH 44077-9617 · Phone (440) 946-0053 · Fax (440) 946-1812

Other Identifiers 1

OtherLA9368241OH · Medicare Ptan

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 Hospital System, Inc. 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 Hospital System, Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 120 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
Karen Grassie, M.D.
General Surgery
NPI 1417056516
7580 AUBURN RD SUITE 314
Concord Twp, OH 44077
(440) 352-0646
✔ PECOS✔ Accepts MedicareSame address
Patricia Kelly, C.N.P.
Nurse Practitioner
NPI 1639362916
7580 AUBURN RD SUITE 202
Painesville, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Razieh Mohseni, MD
Internal Medicine
NPI 1629053426
7580 AUBURN RD STE 309
Concord Twp, OH 44077
(440) 352-2702
✔ PECOS✔ Accepts MedicareSame address
Kathryn Thomas, CNP
Nurse Practitioner
NPI 1699915744
7580 AUBURN ROAD
Concord Township, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Christina Zayicek, CNP
Nurse Practitioner
NPI 1861769630
7580 AUBURN RD #202
Painesville, OH 44077
(440) 354-1899
✔ PECOSSame address
Daniel Hofius, DO
Family Practice
NPI 1356301311
7580 AUBURN ROAD SUITE 202
Concord Twp, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Daniel Modarelli, DO
Family Practice
NPI 1033179791
7580 AUBURN ROAD SUITE 202
Concord Twp, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts MedicareSame address
Sonja Peckham, CNP
Nurse Practitioner
NPI 1114201522
7580 AUBURN RD SUITE 207
Concord Twp, OH 44077
(440) 354-1802
✔ PECOS✔ Accepts MedicareSame address
Karen Alston, CNP
Nurse Practitioner
NPI 1881164986
7590 AUBURN RD
Concord Twp, OH 44077
(440) 375-8100
✔ PECOS✔ Accepts MedicareSame address
Susan Perdue Schultz, CNP
Nurse Practitioner
NPI 1508256975
7590 AUBURN RD
Concord Twp, OH 44077
(440) 375-8100
✔ PECOS✔ Accepts MedicareSame address
Judy Mindzora
Nurse Practitioner
NPI 1578075321
7590 AUBURN RD
Concord Twp, OH 44077
(440) 354-1899
✔ PECOS✔ Accepts Medicare0.1 mi
Frank Myers, DO
Orthopedic Surgery
NPI 1528037173
7551 FREDLE DR
Painesville, OH 44077
(440) 350-9595
✔ PECOS0.2 mi
Raquel Buehner, NP-C
Nurse Practitioner
NPI 1023602745
8007 AUBURN RD STE 3
Concord Twp, OH 44077
(440) 375-5520
✔ PECOS0.8 mi
Dannielle Mastroianni, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1760188825
11775 ARBOR GLEN DR
Chardon, OH 44024
(440) 983-1606
✔ PECOS✔ Accepts Medicare2.7 mi
Mark Komar, MD
Family Practice
NPI 1003883711
9500 MENTOR AVE SUITE 100
Mentor, OH 44060
(440) 352-4880
✔ PECOS3.0 mi
John Allen, D.O.
Internal Medicine
NPI 1215514815
9500 MENTOR AVENUE SUITE 100
Mentor, OH 44060
(440) 898-1021
✔ PECOS✔ Accepts Medicare3.0 mi
Gordon Bodzin, M.D.
General Surgery
NPI 1053388637
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-1899
✔ PECOS✔ Accepts Medicare3.0 mi
Marc Dinga, MD
Pulmonary Disease
NPI 1760470751
9500 MENTOR AVEMUE SUITE 100
Mentor, OH 44060
(440) 255-5620
✔ PECOS3.0 mi
Timothy Pritchard, M.D.
Colorectal Surgery (Proctology)
NPI 1225126824
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-0377
✔ PECOS3.0 mi
David Reznick, M.D.
Critical Care (Intensivists)
NPI 1821380023
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-0377
✔ PECOS✔ Accepts Medicare3.0 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.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Lake Hospital System (CMS certification number 36T098), from CMS Care Compare.

Lake Hospital System

Inpatient rehabilitation facility · Concord, OH
OwnershipNon-profit
CMS Certification Number36T098
Medicare-Certified SinceJanuary 1, 2004
Location10977 Capital ParkwayConcord, OH 44077
Phone(440) 953-6251
Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Stroke
69
patient stays
Hip or knee replacement, amputation or other bone or joint condition
18
patient stays
Brain injury (traumatic)
12
patient stays
Hip or femur fracture
11
patient stays
Brain disease or condition (non-traumatic)
Less than 11 patient stays
Nervous system disorder (excluding stroke)
Less than 11 patient stays
Spinal cord disease or condition (non-traumatic)
Less than 11 patient stays
Spinal cord injury (traumatic)
Less than 11 patient stays
All other conditions
21
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found
Drug Regimen Review · 151 patient stays
98.7%
Patients given a current list of their medications at discharge
Transfer of Health Information to the Patient · 128 patient stays
100%
Medication list sent to the next provider at discharge
Transfer of Health Information to the Provider · 23 patient stays
100%
Patients who meet or exceed the self-care ability expected for their condition at discharge
Discharge Self-Care Score · 138 patient stays
59.4%
Patients who meet or exceed the mobility expected for their condition at discharge
Discharge Mobility Score · 138 patient stays
54.3%
Patients who meet or exceed the overall function expected at discharge
Discharge Function Score · 138 patient stays
51.45%
Patients who experienced one or more falls with major injury during their stay
151 patient stays · Lower rates are better for this measure.
0%
Patients with pressure ulcers or injuries that are new or worsened
Risk-adjusted rate · 151 patient stays · observed rate 1.3% · Lower rates are better for this measure.
1.2%
Healthcare workers given the influenza vaccine
20 healthcare workers
85%
Healthcare workers up to date on COVID-19 vaccination
56 healthcare workers
0%
Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community
86 of 141 patient stays · observed rate 60.99%
61.51%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions within 30 days after discharge
8 readmissions of 135 patient stays · observed rate 5.93% · Lower rates are better for this measure.
8.75%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions during the rehabilitation stay
6 readmissions of 149 patient stays · observed rate 4.03% · Lower rates are better for this measure.
4.81%
risk-standardized rate
No Different than the National Rate
Medicare spending per episode of care
1.00 = national average per episode of care · based on 132 episodes
0.97
spending ratio
Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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 1316198724. It was assigned to this organization in the NPPES registry on October 3, 2008.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 7580 Auburn Road Suite 202, Concord Township, OH 44077. The listed phone number is (440) 352-0400.

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

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

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, 10 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Lake Hospital System, Inc. a Medicare-certified inpatient rehabilitation facility?

Yes. Lake Hospital System is a Medicare-certified inpatient rehabilitation facility (CMS certification number 36T098), certified since January 1, 2004.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.