LAKESIDE URGENT CARE, P.C.
NPI 1811226442
Internal Medicine 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 1811226442) is a healthcare organization registered as an internal medicine in Clinton Township, Michigan and active in the NPI registry since December 2009. The organization lists Tabatha Leanne Stage, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 1811226442. It was assigned to this organization in the NPPES registry on December 10, 2009.
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 Internal Medicine with taxonomy code 207R00000X.
Is Lakeside Urgent Care, P.C. enrolled in Medicare?
Yes. Lakeside Urgent Care, P.C. is registered in the Medicare PECOS enrollment system.
When is Lakeside Urgent Care, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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.
What insurance does Lakeside Urgent Care, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Priority Health list Lakeside Urgent Care, P.C. 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.
When was this NPI record last updated?
The NPPES record for Lakeside Urgent Care, P.C. was last updated on December 10, 2009. 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.
# Lakeside Urgent Care, P.c. · NPI 1811226442
Internal Medicine organization in Clinton Township, Michigan. Organization record, active in the CMS NPPES registry since December 10, 2009.
## Identity
- **NPI:** 1811226442 (Entity type: Organization)
- **Enumerated:** December 10, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Tabatha Stage, BILLING MANAGER
## Practice location
- **Address:** 44472 HAYES RD, Clinton Township, MI 48038-1090
- **Phone:** (586) 412-0890 · **Fax:** (586) 412-1069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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/1811226442/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2009
- **Other identifiers:** Medicare PIN 0N82490 (MI); Other 700E001600 (MI); Medicaid 1720159304 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1811226442) · Data from the CMS NPPES public registry.