ALEXANDER DAVID LAKE DO
NPI 1720575418
Internal Medicine - Gastroenterology in Temple Terrace, FL
About Alexander David Lake Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDER DAVID LAKE DO (NPI 1720575418) is an individual gastroenterology provider in Temple Terrace, Florida, licensed in Florida (OS16856) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and maintains a secondary practice location in Tampa.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexander David Lake Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Alexander Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 992 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Florida Hospital Carrollwood
Acute Care Hospitals · Tampa, FLAdventhealth Tampa
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TEMPLE TERRACE, FL 33637
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 Alexander Lake's NPI number?
The NPI number for Alexander Lake is 1720575418. It was assigned to this individual provider in the NPPES registry on April 18, 2018.
Where is Alexander Lake located?
Alexander Lake practices at 13067 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 779-6303.
What is Alexander Lake's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Alexander Lake enrolled in Medicare?
Yes. Alexander Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Alexander Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Lake reassigns Medicare benefits to 2 organizations: H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL) and Florida Hospital Physician Group Inc (Tampa, FL). Each 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 Alexander Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexander Lake accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Alexander Lake 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.
Is Alexander Lake affiliated with any hospitals?
According to CMS data, Alexander Lake is affiliated with Florida Hospital Carrollwood and Adventhealth Tampa.
When was this NPI record last updated?
The NPPES record for Alexander Lake was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.
# Alexander David Lake, DO · NPI 1720575418
Gastroenterology physician in Temple Terrace, Florida. Individual provider, active in the CMS NPPES registry since April 18, 2018.
## Identity
- **NPI:** 1720575418 (Entity type: Individual)
- **Enumerated:** April 18, 2018
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** OS16856 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 13067 N TELECOM PKWY, Temple Terrace, FL 33637-0926
- **Phone:** (813) 779-6303 · **Fax:** (786) 868-0012
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (NPI 1306833595, Tampa, FL); Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 28, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1720575418) · Data from the CMS NPPES public registry.