LAKESIDE FAMILY PRACTICE PC
NPI 1528176179
Clinic/Center - Primary Care in Raynham, MA
About Lakeside Family Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE FAMILY PRACTICE PC (NPI 1528176179) is a healthcare organization registered as a primary care in Raynham, Massachusetts and active in the NPI registry since August 2006. The organization lists Cheng Chuang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Family Practice PC, 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.
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 Family Practice PC's NPI number?
The NPI number for Lakeside Family Practice PC is 1528176179. It was assigned to this organization in the NPPES registry on August 25, 2006.
Where is Lakeside Family Practice PC located?
Lakeside Family Practice PC is located at 416 Broadway, Raynham, MA 02767. The listed phone number is (508) 828-5020.
What is Lakeside Family Practice PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lakeside Family Practice PC enrolled in Medicare?
Yes. Lakeside Family Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Family Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lakeside Family Practice PC. 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.
When was this NPI record last updated?
The NPPES record for Lakeside Family Practice PC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lakeside Family Practice Pc · NPI 1528176179
Primary Care organization in Raynham, Massachusetts. Organization record, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1528176179 (Entity type: Organization)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Cheng Chuang, PRESIDENT
## Practice location
- **Address:** 416 BROADWAY, Raynham, MA 02767-1737
- **Phone:** (508) 828-5020 · **Fax:** (508) 386-1323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528176179) · Data from the CMS NPPES public registry.