PRIMEHEALTH WILLOWICK PRIMARY CARE
NPI 1326141987
Family Medicine in Willowick, OH

Active since September 07, 2006
29804 LAKESHORE BLVD, WILLOWICK, OH 44095(440) 833-2095(440) 833-2096 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primehealth Willowick Primary Care NPPES

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

PRIMEHEALTH WILLOWICK PRIMARY CARE (NPI 1326141987) is a healthcare organization registered as a family medicine in Willowick, Ohio and active in the NPI registry since September 2006. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1326141987
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE HOSPITAL SYSTEM
Location Address29804 LAKESHORE BLVDWillowick, OH 44095
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938
Fax(440) 833-2096
Organization SubpartYes
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051
Enumeration DateSeptember 7, 2006
Last NPPES UpdateApril 8, 2008
✔ NPI 1326141987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-084193 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35-084193
29804 LAKESHORE BLVD, Willowick, OH 44095

Other Names 1

Doing Business AsPrimehealth Willowick Primary Care

Other Identifiers 2

Medicare PINLA9368241OH
Medicaid2694259OH

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primehealth Willowick Primary Care 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 Primehealth Willowick Primary Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 144 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
Family Practice
NPI 1982797874
29804 LAKESHORE BLVD. LHPG WILLOWICK PRIMARY CARE
Willowick, OH 44095
(440) 833-2095
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174813638
29804 LAKESHORE BLVD
Willowick, OH 44095
(440) 833-2095
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487677233
29804 LAKESHORE BOULEVARD
Willowick, OH 44095
(440) 833-2095
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710092267
29804 LAKESHORE BLVD
Willowick, OH 44095
(440) 833-2095
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245290204
29804 LAKESHORE BLVD.
Willowick, OH 44095
(440) 833-2010
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528593894
29804 LAKE SHORE BLVD
Willowick, OH 44095
(440) 833-2095
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1679511976
31731 LAKE SHORE BLVD
Willowick, OH 44095
(216) 313-2016
✔ PECOS1.0 mi
Obstetrics/Gynecology
NPI 1376702241
5105 SOM CENTER ROAD SUITE 201
Willoughby, OH 44094
(440) 602-6710
✔ PECOS✔ Accepts Medicare2.2 mi
Rheumatology
NPI 1083685952
5105 SOM CENTER RD # 105
Willoughby, OH 44094
(440) 953-8700
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1447684592
5105 SOM CENTER ROAD STE 202
Willoughby, OH 44094
(440) 953-5760
✔ PECOS2.2 mi
Pain Management
NPI 1831142140
5105 SOM CENTER ROAD SUITE 202
Willoughby, OH 44094
(440) 953-5760
✔ PECOS✔ Accepts Medicare2.2 mi
Family Practice
NPI 1114260122
5105 SOM CENTER RD #106
Willoughby, OH 44094
(440) 953-5740
✔ PECOS✔ Accepts Medicare2.2 mi
Anesthesiology
NPI 1104015213
5105 SOM CENTER ROAD SUITE 202
Willoughby, OH 44094
(440) 953-5760
✔ PECOS2.2 mi
Endocrinology
NPI 1184745143
5105 SOM CENTER RD STE 106
Willoughby, OH 44094
(440) 266-5000
✔ PECOS✔ Accepts Medicare2.2 mi
Certified Nurse Midwife (CNM)
NPI 1275566556
36001 EUCLID AVE STE C7
Willoughby, OH 44094
(440) 602-6710
✔ PECOS✔ Accepts Medicare2.5 mi
Orthopedic Surgery
NPI 1437230307
36060 EUCLID AVE STE 203
Willoughby, OH 44094
(440) 602-6670
✔ PECOS✔ Accepts Medicare2.5 mi
General Surgery
NPI 1144336470
36060 EUCLID AVE SUITE 204
Willoughby, OH 44094
(440) 602-6553
✔ PECOS2.5 mi
Internal Medicine
NPI 1770699019
36100 EUCLID AVE #240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts Medicare2.5 mi
Ophthalmology
NPI 1770926818
36100 EUCLID AVE STE 450
Willoughby, OH 44094
(440) 946-9555
✔ PECOS✔ Accepts Medicare2.5 mi
Cardiovascular Disease (Cardiology)
NPI 1861451403
36100 EUCLID AVE SUITE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS2.5 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's NPI number?

The NPI number for Lake Hospital System is 1326141987. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Primehealth Willowick Primary Care.

Where is Lake Hospital System located?

Lake Hospital System is located at 29804 Lakeshore Blvd, Willowick, OH 44095. The listed phone number is (440) 833-2095.

What is Lake Hospital System's specialty?

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

Is Lake Hospital System enrolled in Medicare?

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

How many clinicians bill Medicare through Lake Hospital System?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System. 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, 6 practice at this address and 144 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 was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.