DR. MENORE GASHAW LAKE MD
NPI 1386174878
Radiology - Diagnostic Radiology in San Diego, CA
About Dr. Menore Gashaw Lake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MENORE GASHAW LAKE MD (NPI 1386174878) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A175291) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Menore Gashaw Lake Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Menore Lake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 360 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 48
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Menore Lake's NPI number?
The NPI number for Menore Lake is 1386174878. It was assigned to this individual provider in the NPPES registry on June 15, 2017.
Where is Menore Lake located?
Menore Lake practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Menore Lake's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Menore Lake enrolled in Medicare?
Yes. Menore Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Menore Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Menore Lake reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (San Diego, CA), Usc Care Medical Group, Inc (Los Angeles, CA) and Keck Medicine Of Usc Imaging Centers, LLC (Pasadena, CA). Each 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 Menore Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Menore Lake was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.