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DR. MARJORIE E LAKE M.D.
NPI 1649245101
Pediatrics in Greenwood, IN

Active since February 20, 2006PECOS Enrolled
3209 W SMITH VALLEY RD, STE. 251, GREENWOOD, IN 46142(317) 893-2364(317) 851-8066 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Marjorie E Lake M.d. NPPES

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

DR. MARJORIE E LAKE M.D. (NPI 1649245101) is an individual pediatrics provider in Greenwood, Indiana, licensed in Indiana (01024834A) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649245101
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARJORIE E LAKECredential: M.D.
Location Address3209 W SMITH VALLEY RD, STE. 251Greenwood, IN 46142-8495
Mailing Address3209 W Smith Valley Rd, Ste. 251Greenwood, IN 46142-8495 · (317) 893-2364 · Fax (317) 851-8066
Phone(317) 893-2364
Fax(317) 851-8066
Sole ProprietorYes
Enumeration DateFebruary 20, 2006
Last NPPES UpdateAugust 12, 2013
✔ NPI 1649245101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01024834A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3209 W SMITH VALLEY RD, Greenwood, IN 46142
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Other Identifiers 2

Medicare UPINC24284IN
Medicaid100333590IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marjorie E Lake M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46142 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

SUPPORTIVE CARE ABA IN LLC
Behavior Analyst
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (317) 936-1240
ERIN SCHOETTLE
Social Worker (Clinical)
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (317) 308-4007
STEPHANIE POOLE LCSW
Social Worker (Clinical)
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (317) 308-4007
DR. AMINAT NWAONUMAH DRPH, RBT
Behavior Technician
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (463) 203-1411
MRS. KYLE B CIRESI MSW, LCSW, LCAC
Social Worker (Clinical)
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (317) 509-0837
ELIZABETH ERDOSY
Behavior Analyst
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (740) 490-8566
KAYLEA LEANNE OVERSHINER
Behavior Technician
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (812) 569-3104
VALENTINA ALLEN
Behavior Technician
3209 W SMITH VALLEY RD
GREENWOOD, IN 46142
Johnson County (317) 936-1240

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 Marjorie Lake's NPI number?

The NPI number for Marjorie Lake is 1649245101. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Marjorie Lake located?

Marjorie Lake practices at 3209 W Smith Valley Rd Ste. 251, Greenwood, IN 46142. The listed phone number is (317) 893-2364.

What is Marjorie Lake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marjorie Lake enrolled in Medicare?

Yes. Marjorie Lake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marjorie Lake was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.