LAKE HEALTH PHYSICIAN GROUP ELECTROPHYSIOLOGY
NPI 1710295829
Internal Medicine - Clinical Cardiac Electrophysiology in Willoughby, OH

Active since September 23, 2010
36100 EUCLID AVE, SUITE 400, WILLOUGHBY, OH 44094(440) 602-6735(440) 946-3221 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lake Health Physician Group Electrophysiology NPPES

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

LAKE HEALTH PHYSICIAN GROUP ELECTROPHYSIOLOGY (NPI 1710295829) is a healthcare organization registered as a clinical cardiac electrophysiology in Willoughby, Ohio and active in the NPI registry since September 2010. The organization lists Robert Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710295829
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameLAKE HOSPITAL SYSTEM
Location Address36100 EUCLID AVE, SUITE 400Willoughby, OH 44094-4456
Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 602-6735 · Fax (440) 946-3221
Fax(440) 946-3221
Organization SubpartNo
Authorized OfficialRobert TraczCfo · (440) 354-1642
Enumeration DateSeptember 23, 2010
✔ NPI 1710295829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
36100 EUCLID AVE, Willoughby, OH 44094

Other Names 1

Doing Business AsLake Health Physician Group Electrophysiology

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)

Lake Health Physician Group Electrophysiology 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 Physician Group Electrophysiology, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 159 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
Endocrinology
NPI 1649238395
36100 EUCLID AVE SUITE 320
Willoughby, OH 44094
(440) 951-1073
✔ PECOSSame address
Internal Medicine
NPI 1770699019
36100 EUCLID AVE #240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1417028556
36100 EUCLID AVE STE 170
Willoughby, OH 44094
(440) 602-6737
✔ PECOSSame address
Nurse Practitioner
NPI 1700219292
36100 EUCLID AVENUE SUITE 170
Willoughby, OH 44094
(440) 602-6737
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1770926818
36100 EUCLID AVE STE 450
Willoughby, OH 44094
(440) 946-9555
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1861451403
36100 EUCLID AVE SUITE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOSSame address
Nurse Practitioner
NPI 1245922202
36100 EUCLID AVE STE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760116206
36100 EUCLID AVE STE 170
Willoughby, OH 44094
(440) 602-6737
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1780847632
36100 EUCLID AVE SUITE 210
Willoughby, OH 44094
(440) 602-6770
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1013023357
36100 EUCLID AVE STE 240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548463227
36100 EUCLID AVE SUITE 240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255984886
36100 EUCLID AVE STE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437236460
36100 EUCLID AVENUE SUITE 210
Willoughby, OH 44094
(440) 602-6770
✔ PECOSSame address
Nurse Practitioner
NPI 1538521000
36100 EUCLID AVENUE SUITE 240
Willoughby, OH 44094
(440) 953-6294
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1932168242
36100 EUCLID AVE SUITE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1790713923
36100 EUCLID AVE SUITE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1851407167
36100 EUCLID AVE #240
Willoughby, OH 44094
(440) 953-6294
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1225263528
36100 EUCLID AVE STE 120
Willoughby, OH 44094
(440) 951-8360
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528494531
36060 EUCLID AVE SUITE 204
Willoughby, OH 44094
(440) 602-6553
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1437230307
36060 EUCLID AVE STE 203
Willoughby, OH 44094
(440) 602-6670
✔ PECOS✔ Accepts Medicare0.1 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's NPI number?

The NPI number for Lake Hospital System is 1710295829. It was assigned to this organization in the NPPES registry on September 23, 2010. The provider is doing business as Lake Health Physician Group Electrophysiology.

Where is Lake Hospital System located?

Lake Hospital System is located at 36100 Euclid Ave Suite 400, Willoughby, OH 44094. The listed phone number is (440) 602-6735.

What is Lake Hospital System's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Lake Hospital System enrolled in Medicare?

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

How many clinicians bill Medicare through Lake Hospital System?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System. 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, 18 practice at this address and 159 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 was last updated on September 23, 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.