THALIA CLARENCIA LAKE DO
NPI 1487395406
Family Medicine in Baytown, TX

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
1677 W BAKER RD STE 2701, BAYTOWN, TX 77521(832) 556-6670 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Thalia Clarencia Lake Do NPPES

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

THALIA CLARENCIA LAKE DO (NPI 1487395406) is an individual family medicine provider in Baytown, Texas, licensed in Texas (V8311) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487395406
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHALIA CLARENCIA LAKECredential: DO
Location Address1677 W BAKER RD STE 2701Baytown, TX 77521-2422
Mailing Address1677 W Baker Rd Ste 2701Baytown, TX 77521-2422 · (832) 556-6670
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1487395406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V8311
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1677 W BAKER RD STE 2701, Baytown, TX 77521

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

Thalia Clarencia Lake Do 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.

PECOS PAC ID3779083845
PECOS Enrollment IDI20250822002795
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thalia Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
1677 W BAKER RD STE 2701
BAYTOWN, TX 77521
Nurse Practitioner (Family)
1677 W BAKER RD STE 2701
BAYTOWN, TX 77521
Family Medicine
1677 W BAKER RD STE 2701
BAYTOWN, TX 77521

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 Thalia Lake's NPI number?

The NPI number for Thalia Lake is 1487395406. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Thalia Lake located?

Thalia Lake practices at 1677 W Baker Rd Ste 2701, Baytown, TX 77521. The listed phone number is (832) 556-6670.

What is Thalia Lake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thalia Lake enrolled in Medicare?

Yes. Thalia 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 organization bills Medicare for Thalia Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thalia Lake reassigns Medicare benefits to Tmh Physician Associates PLLC (Houston, TX). The 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 Thalia Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thalia Lake affiliated with any hospitals?

According to CMS data, Thalia Lake is affiliated with Houston Methodist Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Thalia Lake was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.