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LAKESIDE MEDICAL LLC
NPI 1356820286
Internal Medicine in Pembroke Pines, FL

Active since August 10, 2018CLIA 10D1107131 · Waiver
600 N HIATUS RD STE 203, PEMBROKE PINES, FL 33026(954) 392-7157(954) 443-4941 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lakeside Medical Llc NPPES

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

LAKESIDE MEDICAL LLC (NPI 1356820286) is a healthcare organization registered as an internal medicine in Pembroke Pines, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Armando De Feria, President, as its authorized official.

NPPES Registry Identity

NPI1356820286
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKESIDE MEDICAL LLC
Location Address600 N HIATUS RD STE 203Pembroke Pines, FL 33026-5207
Mailing Address600 N Hiatus Rd Ste 203Pembroke Pines, FL 33026-5207 · (954) 392-7157 · Fax (954) 443-4941
Phone(954) 392-7157
Fax(954) 443-4941
Organization SubpartNo
Authorized OfficialArmando De FeriaPresident · (954) 392-7157
Enumeration DateAugust 10, 2018
✔ NPI 1356820286 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.
600 N HIATUS RD STE 203, Pembroke Pines, FL 33026
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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 AvMed.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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lakeside Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Armando De Feria, M.D.
Internal Medicine
NPI 1639179807
600 N HIATUS RD SUITE 203
Pembroke Pines, FL 33026
(954) 392-7157
✔ PECOS✔ Accepts MedicareSame address
Jennifer Nieves-Cunningham, ARNP
Nurse Practitioner
NPI 1700825601
17779 SW 2ND ST
Pembroke Pines, FL 33029
(954) 431-2122
✔ PECOS✔ Accepts Medicare5.3 mi
Lisset Gonzalez Perez, APRN, MSN, FNP,, BC
Nurse Practitioner
NPI 1659953610
15611 SW 63RD TER
Miami, FL 33193
(786) 263-8520
✔ PECOS✔ Accepts Medicare23 mi
Megan Janson, M.D.
Family Practice
NPI 1366738478
320 N MAIN ST
Lockney, TX 79241
(806) 652-3373
✔ PECOS✔ Accepts Medicare1,376 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1107131

Lakeside Medical, LLC · Pembroke Pines, FL
Active · expires Oct 27, 2027
CLIA Number10D1107131
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorArmando A. Deferia
Laboratory Phone(954) 392-7157
Laboratory LocationLakeside Medical, LLC600 N Hiatus Rd Ste 203, Pembroke Pines, FL 33026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lakeside Medical LLC's NPI number?

The NPI number for Lakeside Medical LLC is 1356820286. It was assigned to this organization in the NPPES registry on August 10, 2018.

Where is Lakeside Medical LLC located?

Lakeside Medical LLC is located at 600 N Hiatus Rd Ste 203, Pembroke Pines, FL 33026. The listed phone number is (954) 392-7157.

What is Lakeside Medical LLC's specialty?

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

Is Lakeside Medical LLC enrolled in Medicare?

Yes. Lakeside Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lakeside Medical LLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lakeside Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1107131) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Medical LLC accept?

Health plans from AvMed list Lakeside Medical 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 Lakeside Medical LLC was last updated on August 10, 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.