LHPG TYLER SPORTS MEDICINE
NPI 1669783593
Family Medicine - Sports Medicine in Mentor, OH

Q: What is Lake Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1669783593. It was assigned to this organization in the NPPES registry on June 25, 2010. The provider is doing business as Lhpg Tyler Sports Medicine.

Q: What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since June 25, 2010

7956 TYLER BLVD, MENTOR, OH 44060(440) 833-2010(440) 833-2096 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Lhpg Tyler Sports Medicine NPPES

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

LHPG TYLER SPORTS MEDICINE (NPI 1669783593) is a healthcare organization registered as a sports medicine in Mentor, Ohio and active in the NPI registry since June 2010. The organization lists Robert B Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1669783593

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameLAKE HOSPITAL SYSTEM, INC.

Location Address7956 TYLER BLVDMentor, OH 44060-4806

Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 833-2020 · Fax (440) 833-2096

Phone(440) 833-2010

Fax(440) 833-2096

Organization SubpartNo

Authorized OfficialRobert B TraczChief Financial Officer · (440) 354-1642

Enumeration DateJune 25, 2010

✔ NPI 1669783593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

7956 TYLER BLVD, Mentor, OH 44060

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Other Names 1

Doing Business AsLhpg Tyler Sports Medicine

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lhpg Tyler Sports Medicine 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 Lhpg Tyler Sports Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 156 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

John Ondrejka, MD

Internal Medicine

NPI 1770543159

7956 TYLER BLVD
Mentor, OH 44060

(440) 716-1283

✔ PECOSSame address

Adam Ridenour, CNP

Nurse Practitioner

NPI 1649793241

7956 TYLER BLVD
Mentor, OH 44060

(440) 255-6040

✔ PECOS✔ Accepts MedicareSame address

Sharon Chaffee, MD

Family Practice

NPI 1528562873

7232 JUSTIN WAY
Mentor, OH 44060

(440) 578-8200

✔ PECOS0.3 mi

James Schroeder, CNP, RN

Nurse Practitioner

NPI 1104380328

7232 JUSTIN WAY
Mentor, OH 44060

(440) 578-8200

✔ PECOS✔ Accepts Medicare0.3 mi

Kristen Eichorn, MD

Obstetrics/Gynecology

NPI 1750709150

8300 TYLER BLVD STE 300
Mentor, OH 44060

(440) 357-7100

✔ PECOS✔ Accepts Medicare0.8 mi

Martha Hackett, MD

Family Practice

NPI 1467454975

8300 TYLER BLVD STE 300
Mentor, OH 44060

(440) 205-1529

✔ PECOS0.8 mi

Abigail Tucker, MD

Obstetrics/Gynecology

NPI 1043229503

8300 TYLER BLVD STE 300
Mentor, OH 44060

(440) 357-7100

✔ PECOS✔ Accepts Medicare0.8 mi

Daniel Weiss, MD FACP CDE

Endocrinology

NPI 1437148590

8300 TYLER BOULEVARD SUITE 102
Mentor, OH 44060

(440) 266-5000

✔ PECOS✔ Accepts Medicare0.8 mi

Stephanie Winterer, C.N.P.

Nurse Practitioner

NPI 1326349788

8300 TYLER BLVD STE 300
Mentor, OH 44060

(440) 205-1529

✔ PECOS0.8 mi

Karen Lewis, N.P.

Nurse Practitioner

NPI 1710237565

8316 YELLOWBRICK RD
Mentor, OH 44060

(440) 796-9023

✔ PECOS0.8 mi

Nadine Szappanos, CNP

Nurse Practitioner

NPI 1881072429

7389 SHARONLEE DR
Mentor, OH 44060

(440) 227-2146

✔ PECOS✔ Accepts Medicare0.8 mi

Mikhael Abourjeily, D.O.

Family Practice

NPI 1982689758

8655 MARKET STREET
Mentor, OH 44060

(440) 255-6400

✔ PECOS✔ Accepts Medicare1.6 mi

Jennifer Demarco

Nurse Practitioner

NPI 1952939746

8655 MARKET ST
Mentor, OH 44060

(440) 701-7535

✔ PECOS1.6 mi

Susan Kim, D.C.

Chiropractic

NPI 1215012257

8655 MARKET ST INTEGRATIVE MEDICINE 2ND FL
Mentor, OH 44060

(440) 255-5508

1.6 mi

Bridget Gallagher, MD

Gastroenterology

NPI 1568881167

8877 MENTOR AVE
Mentor, OH 44060

(440) 205-1225

✔ PECOS✔ Accepts Medicare1.8 mi

Thomesha Barton, MD

Obstetrics/Gynecology

NPI 1104054352

4176 STATE ROUTE 306
Willoughby, OH 44094

(440) 918-4630

✔ PECOS✔ Accepts Medicare2.9 mi

Mihaela Donca, M.D.

Internal Medicine

NPI 1881635670

4176 STATE ROUTE 306
Willoughby, OH 44094

(440) 918-4690

✔ PECOS✔ Accepts Medicare2.9 mi

Lena Kretzmer, MD, MPH

Pediatric Medicine

NPI 1164984894

9485 MENTOR AVE STE 101
Mentor, OH 44060

(440) 205-5800

✔ PECOS3.0 mi

Dean Pahr, D.O.

Anesthesiology

NPI 1417900473

9485 MENTOR AVE STE 200
Mentor, OH 44060

(440) 205-5799

✔ PECOS3.0 mi

Gordon Bodzin, M.D.

General Surgery

NPI 1053388637

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-1899

✔ PECOS✔ Accepts Medicare3.1 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 1669783593. It was assigned to this organization in the NPPES registry on June 25, 2010. The provider is doing business as Lhpg Tyler Sports Medicine.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 7956 Tyler Blvd, Mentor, OH 44060. The listed phone number is (440) 833-2010.

What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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, 2 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.