LAKESIDE ALLERGY ENT LLP
NPI 1780068379
Specialist in Rockwall, TX
About Lakeside Allergy Ent Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE ALLERGY ENT LLP (NPI 1780068379) is a healthcare organization registered as a specialist in Rockwall, Texas and active in the NPI registry since July 2015. The organization lists Susan Young, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Allergy Ent Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Lakeside Allergy Ent LLP, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Lakeside Allergy Ent LLP's NPI number?
The NPI number for Lakeside Allergy Ent LLP is 1780068379. It was assigned to this organization in the NPPES registry on July 14, 2015.
Where is Lakeside Allergy Ent LLP located?
Lakeside Allergy Ent LLP is located at 1320 Summer Lee Dr., Rockwall, TX 75032. The listed phone number is (972) 771-5443.
What is Lakeside Allergy Ent LLP's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lakeside Allergy Ent LLP enrolled in Medicare?
Yes. Lakeside Allergy Ent LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Allergy Ent LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lakeside Allergy Ent LLP, in Otolaryngology and Qualified Audiologist. 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. Of these, 2 practice at this address and 3 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 Allergy Ent LLP was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Allergy Ent Llp · NPI 1780068379
Specialist organization in Rockwall, Texas. Organization record, active in the CMS NPPES registry since July 14, 2015.
## Identity
- **NPI:** 1780068379 (Entity type: Organization)
- **Enumerated:** July 14, 2015
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Susan Young, MANAGER
## Practice location
- **Address:** 1320 SUMMER LEE DR., Rockwall, TX 75032
- **Phone:** (972) 771-5443 · **Fax:** (972) 771-5444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (2), Qualified Audiologist (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1780068379) · Data from the CMS NPPES public registry.