LAKESIDE URGENT CARE, P. C.
NPI 1720159304
Clinic/Center - Urgent Care in Clinton Township, MI
About Lakeside Urgent Care, P. C. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE URGENT CARE, P. C. (NPI 1720159304) is a healthcare organization registered as an urgent care in Clinton Township, Michigan and active in the NPI registry since November 2006. The organization lists Fadi Demashkieh, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Urgent Care, P. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
81Medicare enrollment records show 81 clinicians reassign Medicare billing to Lakeside Urgent Care, P. C., which bills Medicare for the services they deliver. Of these, 22 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 81Source: 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 Lakeside Urgent Care, P. C.'s NPI number?
The NPI number for Lakeside Urgent Care, P. C. is 1720159304. It was assigned to this organization in the NPPES registry on November 13, 2006.
Where is Lakeside Urgent Care, P. C. located?
Lakeside Urgent Care, P. C. is located at 44472 Hayes Rd, Clinton Township, MI 48038. The listed phone number is (586) 412-0890.
What is Lakeside Urgent Care, P. C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Lakeside Urgent Care, P. C. enrolled in Medicare?
Yes. Lakeside Urgent Care, P. C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Urgent Care, P. C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 11 Medicare specialties reassign their Medicare billing to Lakeside Urgent Care, P. C.. 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 (41), Internal Medicine (19) and Family Practice (9). Of these, 22 practice 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 Lakeside Urgent Care, P. C. was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lakeside Urgent Care, P. C. · NPI 1720159304
Urgent Care organization in Clinton Township, Michigan. Organization record, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1720159304 (Entity type: Organization)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Fadi Demashkieh, OWNER
## Practice location
- **Address:** 44472 HAYES RD, Clinton Township, MI 48038-1090
- **Phone:** (586) 412-0890 · **Fax:** (586) 412-1065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 81 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (41), Internal Medicine (19), Family Practice (9); 22 practice within 10 miles; [full list](https://npiprofile.com/npi/1720159304/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2022
- **Other identifiers:** Other 1720159304 (MI); Other 1106354161 (MI); Other 700E001600 (MI); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1720159304) · Data from the CMS NPPES public registry.