PRIMEHEALTH CHARDON FAMILY PRACTICE
NPI 1538101985
Family Medicine in Chardon, OH

Active since June 11, 2006
510 FIFTH AVENUE, CHARDON, OH 44024(440) 279-1528(440) 279-1516 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Primehealth Chardon Family Practice NPPES

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

PRIMEHEALTH CHARDON FAMILY PRACTICE (NPI 1538101985) is a healthcare organization registered as a family medicine in Chardon, Ohio and active in the NPI registry since June 2006. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1538101985
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE HOSPITAL SYSTEM INC
Location Address510 FIFTH AVENUEChardon, OH 44024
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938
Fax(440) 279-1516
Organization SubpartYesParent: Lake Hospital System, Inc.
Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1538101985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
510 FIFTH AVENUE, Chardon, OH 44024

Other Names 1

Doing Business AsPrimehealth Chardon Family Practice

Other Identifiers 2

Medicare PINLA9368241OH
Medicaid2017294OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Primehealth Chardon Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Primehealth Chardon Family Practice, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 107 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115
Family Practice51
Internal Medicine20
Obstetrics/Gynecology16
Neurology12
General Surgery10
Pediatric Medicine10
Cardiovascular Disease (Cardiology)7
21 other specialties43

Nearest to this location (20)

See all 284
Family Practice
NPI 1023225448
510 FIFTH AVENUE
Chardon, OH 44024
(440) 279-1500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871974899
510 5TH AVE STE 130
Chardon, OH 44024
(440) 279-1500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1861704140
510 5TH AVE
Chardon, OH 44024
(440) 279-1500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497861744
510 FIFTH AVENUE
Chardon, OH 44024
(440) 285-9494
✔ PECOSSame address
Pediatric Medicine
NPI 1043417603
510 FIFTH AVE
Chardon, OH 44024
(440) 279-1590
✔ PECOSSame address
Family Practice
NPI 1144281288
510 FIFTH AVE
Chardon, OH 44024
(440) 279-1500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609236926
100 7TH AVE 111
Chardon, OH 44024
(440) 286-8841
✔ PECOS0.1 mi
Family Practice
NPI 1992791636
320 CENTER ST
Chardon, OH 44024
(440) 285-8585
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1760188825
11775 ARBOR GLEN DR
Chardon, OH 44024
(440) 983-1606
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1699489351
10707 CLARK RD
Chardon, OH 44024
(440) 479-2120
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1023602745
8007 AUBURN RD STE 3
Concord Twp, OH 44077
(440) 375-5520
✔ PECOS4.7 mi
Nurse Practitioner
NPI 1578075321
7590 AUBURN RD
Concord Twp, OH 44077
(440) 354-1899
✔ PECOS✔ Accepts Medicare5.4 mi
General Surgery
NPI 1417056516
7580 AUBURN RD SUITE 314
Concord Twp, OH 44077
(440) 352-0646
✔ PECOS✔ Accepts Medicare5.5 mi
Internal Medicine
NPI 1629053426
7580 AUBURN RD STE 309
Concord Twp, OH 44077
(440) 352-2702
✔ PECOS✔ Accepts Medicare5.5 mi
Family Practice
NPI 1356301311
7580 AUBURN ROAD SUITE 202
Concord Twp, OH 44077
(440) 352-0400
✔ PECOS✔ Accepts Medicare5.5 mi
Orthopedic Surgery
NPI 1588641708
13170 RAVENNA ROAD SUITE 200
Chardon, OH 44024
(844) 542-6363
✔ PECOS✔ Accepts Medicare5.5 mi
Pulmonary Disease
NPI 1760470751
9500 MENTOR AVEMUE SUITE 100
Mentor, OH 44060
(440) 255-5620
✔ PECOS7.7 mi
Colorectal Surgery (Proctology)
NPI 1225126824
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-0377
✔ PECOS7.7 mi
Critical Care (Intensivists)
NPI 1821380023
9500 MENTOR AVE STE 200
Mentor, OH 44060
(440) 354-0377
✔ PECOS✔ Accepts Medicare7.7 mi
Pediatric Medicine
NPI 1720194046
9485 MENTOR AVE #101
Mentor, OH 44060
(440) 205-5800
✔ PECOS7.8 mi
See all 284 clinicians

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 Hospital System Inc's NPI number?

The NPI number for Lake Hospital System Inc is 1538101985. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Primehealth Chardon Family Practice.

Where is Lake Hospital System Inc located?

Lake Hospital System Inc is located at 510 Fifth Avenue, Chardon, OH 44024. The listed phone number is (440) 279-1528.

What is Lake Hospital System Inc's specialty?

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

Is Lake Hospital System Inc enrolled in Medicare?

Yes. Lake Hospital System Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System Inc. 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 (115), Family Practice (51) and Internal Medicine (20). Of these, 6 practice at this address and 107 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Hospital System Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Lake Hospital System Inc 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 Hospital System Inc was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.