LAKEWOOD INTERNAL MEDICINE PROFESSIONAL LLC
NPI 1457548265
Clinic/Center in Lakewood, CO
About Lakewood Internal Medicine Professional Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEWOOD INTERNAL MEDICINE PROFESSIONAL LLC (NPI 1457548265) is a healthcare organization registered as a clinic/center in Lakewood, Colorado and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists David Marc Leon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakewood Internal Medicine Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakewood Internal Medicine Professional LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 06D0861109
Lakewood Internal Medicine · Lakewood, COFrequently 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 Lakewood Internal Medicine Professional LLC's NPI number?
The NPI number for Lakewood Internal Medicine Professional LLC is 1457548265. It was assigned to this organization in the NPPES registry on September 26, 2007.
Where is Lakewood Internal Medicine Professional LLC located?
Lakewood Internal Medicine Professional LLC is located at 1805 Kipling St, Lakewood, CO 80215. The listed phone number is (303) 231-9700.
What is Lakewood Internal Medicine Professional LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Lakewood Internal Medicine Professional LLC enrolled in Medicare?
Yes. Lakewood Internal Medicine Professional LLC is registered in the Medicare PECOS enrollment system.
When is Lakewood Internal Medicine Professional LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lakewood Internal Medicine Professional LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lakewood Internal Medicine Professional LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lakewood Internal Medicine Professional LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D0861109) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lakewood Internal Medicine Professional LLC was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lakewood Internal Medicine Professional Llc · NPI 1457548265
Clinic/Center organization in Lakewood, Colorado. Organization record, active in the CMS NPPES registry since September 26, 2007.
## Identity
- **NPI:** 1457548265 (Entity type: Organization)
- **Enumerated:** September 26, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** David Leon, OWNER
## Practice location
- **Address:** 1805 KIPLING ST, Lakewood, CO 80215-2873
- **Phone:** (303) 231-9700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457548265) · Data from the CMS NPPES public registry.