JOHN RICHARD LAKE MD
NPI 1740360619
Internal Medicine - Gastroenterology in Minneapolis, MN
About John Richard Lake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN RICHARD LAKE MD (NPI 1740360619) is an individual gastroenterology provider in Minneapolis, Minnesota, licensed in Minnesota (40739) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of University Of Minnesota Medical School (1979).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 15
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
John Richard Lake Md 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
11Medicare enrollment records show John Lake reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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 2
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Duluth
Acute Care Hospitals · Duluth, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNSt Croix Regional Medical Center
Critical Access Hospitals · Saint Croix Falls, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 John Lake's NPI number?
The NPI number for John Lake is 1740360619. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is John Lake located?
John Lake practices at University Of Minnesota Physicians 516 Delaware Street SE, Clinic 2A, Minneapolis, MN 55454. The listed phone number is (612) 626-6100.
What is John Lake's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is John Lake enrolled in Medicare?
Yes. John 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 John Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Lake reassigns Medicare benefits to 11 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Fairview Bethesda Hospital (Minneapolis, MN) and 6 more organizations, listed in the Medicare section above. 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 John Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Lake accept?
Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list John 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 John Lake affiliated with any hospitals?
According to CMS data, John Lake is affiliated with Essentia Health Duluth, M Health Fairview University Of Mn, M Health Fairview Ridges Hospital, M Health Fairview Woodwinds Hospital and St Croix Regional Medical Center.
When was this NPI record last updated?
The NPPES record for John Lake was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# John Richard Lake, MD · NPI 1740360619
Gastroenterology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1740360619 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 40739 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, CLINIC 2A, Minneapolis, MN 55454-1478
- **Phone:** (612) 626-6100
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Clinics (NPI 1245422021, Minneapolis, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1979
## Record status
- **NPPES last updated:** October 26, 2012
- **Other identifiers:** Other 03G121LA (MN); Medicare ID-Type Unspecified 100000335; Medicaid 0506741 (IA); and 12 more
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Source: [NPI Profile](https://npiprofile.com/npi/1740360619) · Data from the CMS NPPES public registry.