OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC
NPI 1588062079
Clinic/Center - Urgent Care in Baton Rouge, LA
About Our Lady Of The Lake Physician Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC (NPI 1588062079) is a healthcare organization registered as an urgent care in Baton Rouge, Louisiana and active in the NPI registry since December 2014. The organization lists Jeffrey Limbocker, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Our Lady Of The Lake Physician Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
868Medicare enrollment records show 868 clinicians reassign Medicare billing to Our Lady Of The Lake Physician Group, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 584 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 52
Nearest to this location (20)
See all 868Baton Rouge, LA 70806
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 Our Lady Of The Lake Physician Group, LLC's NPI number?
The NPI number for Our Lady Of The Lake Physician Group, LLC is 1588062079. It was assigned to this organization in the NPPES registry on December 15, 2014.
Where is Our Lady Of The Lake Physician Group, LLC located?
Our Lady Of The Lake Physician Group, LLC is located at 5439 Airline Hwy, Baton Rouge, LA 70805. The listed phone number is (225) 358-4853.
What is Our Lady Of The Lake Physician Group, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Our Lady Of The Lake Physician Group, LLC enrolled in Medicare?
Yes. Our Lady Of The Lake Physician Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Our Lady Of The Lake Physician Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 868 clinicians in 52 Medicare specialties reassign their Medicare billing to Our Lady Of The Lake Physician Group, 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. The largest specialties are Nurse Practitioner (214), Pediatric Medicine (114) and Internal Medicine (94). Of these, 8 practice at this address and 584 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Our Lady Of The Lake Physician Group, LLC accept?
Health plans from UnitedHealthcare list Our Lady Of The Lake Physician Group, LLC 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 Our Lady Of The Lake Physician Group, LLC was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Our Lady Of The Lake Physician Group, Llc · NPI 1588062079
Urgent Care organization in Baton Rouge, Louisiana. Organization record, active in the CMS NPPES registry since December 15, 2014.
## Identity
- **NPI:** 1588062079 (Entity type: Organization)
- **Enumerated:** December 15, 2014
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** Yes (part of Our Lady Of The Lake Physician Group, Llc)
- **Authorized official:** Jeffrey Limbocker, CFO
## Practice location
- **Address:** 5439 AIRLINE HWY, Baton Rouge, LA 70805-1712
- **Phone:** (225) 358-4853 · **Fax:** (225) 358-2350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 868 clinicians in 52 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (214), Pediatric Medicine (114), Internal Medicine (94); 8 practice at this address and 584 within 10 miles; [full list](https://npiprofile.com/npi/1588062079/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1588062079) · Data from the CMS NPPES public registry.