LAKESHORE RADIOLOGY ASSOCIATES SC
NPI 1346265915
Radiology - Diagnostic Radiology in Manitowoc, WI

Q: What is Lakeshore Radiology Associates Sc's NPI number?

The NPI number for Lakeshore Radiology Associates Sc is 1346265915. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is Lakeshore Radiology Associates Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since July 13, 2006

2300 WESTERN AVE, MANITOWOC, WI 54221(920) 320-3800 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 22, 2021, Mar 18, 2021, Aug 22, 2020 (3 updates tracked since 2020).

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About Lakeshore Radiology Associates Sc NPPES

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

LAKESHORE RADIOLOGY ASSOCIATES SC (NPI 1346265915) is a healthcare organization registered as a diagnostic radiology in Manitowoc, Wisconsin and active in the NPI registry since July 2006. The organization lists Matthew J Koeberl, Vice President, as its authorized official.

NPPES Registry Identity

NPI1346265915

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameLAKESHORE RADIOLOGY ASSOCIATES SC

Location Address2300 WESTERN AVEManitowoc, WI 54221-1450

Mailing Address2300 Western AveManitowoc, WI 54220-3712 · (920) 320-3800

Phone(920) 320-3800

Organization SubpartNo

Authorized OfficialMatthew J KoeberlVice President · (920) 320-3800

Enumeration DateJuly 13, 2006

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1346265915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2300 WESTERN AVE, Manitowoc, WI 54221

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Other Identifiers 1

Medicaid32729200WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan.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)

Lakeshore Radiology Associates Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lakeshore Radiology Associates Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Matthew Koeberl, M.D.

Diagnostic Radiology

NPI 1396975165

2300 WESTERN AVE LAKESHORE RADIOLOGY
Manitowoc, WI 54220

(920) 320-3800

✔ PECOS✔ Accepts MedicareSame address

Stephen Johnston, M.D.

Diagnostic Radiology

NPI 1255759189

9200 W WISCONSIN AVE
Milwaukee, WI 53226

(414) 955-1187

✔ PECOS✔ Accepts Medicare75 mi

Daniel Kehler, MD

Diagnostic Radiology

NPI 1801188149

13400 E SHEA BLVD
Scottsdale, AZ 85259

(480) 301-8000

✔ PECOS✔ Accepts Medicare1,481 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 Lakeshore Radiology Associates Sc's NPI number?

The NPI number for Lakeshore Radiology Associates Sc is 1346265915. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Lakeshore Radiology Associates Sc located?

Lakeshore Radiology Associates Sc is located at 2300 Western Ave, Manitowoc, WI 54221. The listed phone number is (920) 320-3800.

What is Lakeshore Radiology Associates Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lakeshore Radiology Associates Sc enrolled in Medicare?

Yes. Lakeshore Radiology Associates Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Radiology Associates Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Lakeshore Radiology Associates Sc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeshore Radiology Associates Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Lakeshore Radiology Associates Sc 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 Lakeshore Radiology Associates Sc was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.