LAKE HEALTH URGENT CARE AND WALK IN CLINIC
NPI 1689634966
Clinic/Center - Urgent Care in Chardon, OH

Active since March 23, 2006
510 5TH AVE, CHARDON, OH 44024(440) 286-8908(440) 257-1527 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Health Urgent Care And Walk In Clinic NPPES

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

LAKE HEALTH URGENT CARE AND WALK IN CLINIC (NPI 1689634966) is a healthcare organization registered as an urgent care in Chardon, Ohio and active in the NPI registry since March 2006. The organization lists Robert Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689634966
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKE HOSPITAL SYSTEM, INC
Location Address510 5TH AVEChardon, OH 44024-1077
Mailing AddressPo Box 781348Detroit, MI 48278-4110 · (440) 286-8908 · Fax (440) 279-1527
Fax(440) 257-1527
Organization SubpartNo
Authorized OfficialRobert TraczCfo · (440) 354-1952
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1689634966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
510 5TH AVE, Chardon, OH 44024

Other Names 1

Doing Business AsLake Health Urgent Care And Walk In Clinic

Other Identifiers 10

Other6600162OH · United Healthcare
Other=========008OH · Tricare
Other264200003OH · Federal Black Lung
Medicare PIN9368241OH
Other=========043OH · Medical Mutual Of Ohio
Other80507OH · Qualchoice
Other264200003OH · Dept Of Labor
Other=========12OH · Workers Comp
Medicaid2017301OH
Medicaid2475352OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Lake Health Urgent Care And Walk In Clinic 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 Lake Health Urgent Care And Walk In Clinic, 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 1689634966. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as Lake Health Urgent Care And Walk In Clinic.

Where is Lake Hospital System, Inc located?

Lake Hospital System, Inc is located at 510 5th Ave, Chardon, OH 44024. The listed phone number is (440) 286-8908.

What is Lake Hospital System, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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 Anthem Blue Cross and Blue Shield 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 February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.