LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
NPI 1467087296
Family Medicine in Englewood, FL
About Lake Erie College Of Osteopathic Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (NPI 1467087296), doing business as Lecom - Englewood Family Practice, is a healthcare organization registered as a family medicine in Englewood, Florida and active in the NPI registry since March 2020. The organization lists Tatiana Robles, Credentialing Cooridator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Lake Erie College Of Osteopathic Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lake Erie College Of Osteopathic Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 Erie College Of Osteopathic Medicine's NPI number?
The NPI number for Lake Erie College Of Osteopathic Medicine is 1467087296. It was assigned to this organization in the NPPES registry on March 12, 2020. The provider is doing business as Lecom - Englewood Family Practice.
Where is Lake Erie College Of Osteopathic Medicine located?
Lake Erie College Of Osteopathic Medicine is located at 2828 S Mccall Rd Ste 21, Englewood, FL 34224. The listed phone number is (941) 474-8154.
What is Lake Erie College Of Osteopathic Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lake Erie College Of Osteopathic Medicine enrolled in Medicare?
Yes. Lake Erie College Of Osteopathic Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Erie College Of Osteopathic Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Lake Erie College Of Osteopathic Medicine. 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 (4), Family Practice (1) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Erie College Of Osteopathic Medicine accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lake Erie College Of Osteopathic Medicine 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 Lake Erie College Of Osteopathic Medicine was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lake Erie College Of Osteopathic Medicine · NPI 1467087296
Family Medicine organization in Englewood, Florida. Organization record, active in the CMS NPPES registry since March 12, 2020.
## Identity
- **NPI:** 1467087296 (Entity type: Organization)
- **Enumerated:** March 12, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** LECOM - ENGLEWOOD FAMILY PRACTICE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tatiana Robles, CREDENTIALING COORIDATOR
## Practice location
- **Address:** 2828 S MCCALL RD STE 21, Englewood, FL 34224-9517
- **Phone:** (941) 474-8154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1467087296) · Data from the CMS NPPES public registry.