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LAKE CUMBERLAND SURGERY SPECIALISTS
NPI 1811396195
Surgery in Somerset, KY

Active since August 22, 2014
26 OXFORD WAY STE B, SOMERSET, KY 42503(615) 920-7000 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2021, Aug 7, 2018, May 11, 2017 (3 updates tracked since 2017).

About Lake Cumberland Surgery Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CUMBERLAND SURGERY SPECIALISTS (NPI 1811396195) is a healthcare organization registered as a surgery in Somerset, Kentucky and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Somerset and lists Kathy Teague, Avp, as its authorized official.

NPPES Registry Identity

NPI1811396195
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLAKE CUMBERLAND PHYSICIAN PRACTICES LLC
Location Address26 OXFORD WAY STE BSomerset, KY 42503-2813
Mailing Address330 Seven Springs WayBrentwood, TN 37027 · (615) 920-7000 · Fax (615) 920-8775
Phone(615) 920-7000
Organization SubpartNo
Authorized OfficialKathy TeagueAvp · (615) 920-7000
Enumeration DateAugust 22, 2014
Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1811396195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
26 OXFORD WAY STE B, Somerset, KY 42503
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Other Names 1

Doing Business AsLake Cumberland Surgery Specialists

Secondary Practice Location 1

Location 1350 Hospital Way, Suite 270Somerset, KY 42503 · Phone (606) 425-4298 · Fax (606) 425-4299

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Cumberland Surgery Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Lake Cumberland Surgery Specialists, which bills Medicare for the services they deliver. Of these, 42 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner39
General Surgery8
Gastroenterology5
Orthopedic Surgery4
Neurology3
Neurosurgery3
Family Practice2
Internal Medicine2
10 other specialties12

Nearest to this location (20)

See all 78
Magdy El Kalliny, M.D.
Neurosurgery
NPI 1275504730
75 HAIL KNOB RD
Somerset, KY 42503
(606) 678-9617
✔ PECOS✔ Accepts Medicare0.1 mi
Dennis Joseph
Endocrinology
NPI 1336307792
353 BOGLE ST SUITE B
Somerset, KY 42503
(606) 451-6060
✔ PECOS✔ Accepts Medicare0.1 mi
William Parker, FNP-C
Nurse Practitioner
NPI 1801360524
349 BOGLE ST STE A
Somerset, KY 42503
(606) 451-6005
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Bryson, M.D.
Internal Medicine
NPI 1184887432
56 TOWER CIR
Somerset, KY 42503
(606) 677-2193
✔ PECOS✔ Accepts Medicare0.1 mi
Samir Cook, M.D.
Gastroenterology
NPI 1629075296
56 TOWER CIRCLE
Somerset, KY 42503
(606) 677-2913
✔ PECOS✔ Accepts Medicare0.1 mi
Angela Stinson, APRN
Nurse Practitioner
NPI 1528050853
56 TOWER CIRCLE
Somerset, KY 42503
(606) 677-2913
✔ PECOS✔ Accepts Medicare0.1 mi
Natarajan Mullai, MD
Hematology/Oncology
NPI 1851373096
401 BOGLE ST STE 101
Somerset, KY 42503
(606) 676-0275
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Yanicko, MD
Orthopedic Surgery
NPI 1598731796
163 TOWER CIR
Somerset, KY 42503
(606) 679-7464
✔ PECOS✔ Accepts Medicare0.2 mi
Jacob Rizkalla, DPM
Podiatry
NPI 1134784978
163 TOWER CIR
Somerset, KY 42503
(606) 679-7441
✔ PECOS✔ Accepts Medicare0.2 mi
Barry White, M.D.
Family Practice
NPI 1609879758
298 BOGLE ST STE A
Somerset, KY 42503
(606) 679-9213
✔ PECOS0.2 mi
Amr El-Naggar, M.D.
Neurosurgery
NPI 1033180757
350 HOSPITAL WAY SUITE 270
Somerset, KY 42503
(606) 678-9617
✔ PECOS✔ Accepts Medicare0.2 mi
Tommy Shelton, M.D.
General Surgery
NPI 1770617854
350 HOSPITAL WAY SUITE 270
Somerset, KY 42503
(606) 425-4298
✔ PECOS✔ Accepts Medicare0.2 mi
Travis Denna, MD
Otolaryngology
NPI 1447887377
350 HOSPITAL WAY
Somerset, KY 42503
(606) 451-3890
✔ PECOS✔ Accepts Medicare0.2 mi
Patrick Jenkins, M.D.
Family Practice
NPI 1417921883
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2650
✔ PECOS✔ Accepts Medicare0.2 mi
Harold Rutledge, MD
Interventional Pain Management
NPI 1184666521
305 LANGDON ST STE P
Somerset, KY 42503
(606) 676-0206
✔ PECOS✔ Accepts Medicare0.3 mi
Kenneth Ruby, MD
Urology
NPI 1063419133
30 MEDPARK SQUARE SUITE 1
Somerset, KY 42503
(606) 677-8360
✔ PECOS✔ Accepts Medicare0.3 mi
Yasser Nadim, M.D.
Orthopedic Surgery
NPI 1477505634
118 TRADEPARK DR STE B
Somerset, KY 42503
(606) 679-7464
✔ PECOS✔ Accepts Medicare0.3 mi
Ausaf Ahmed, MBBS
Neurology
NPI 1720439540
103 HARDIN LN STE A
Somerset, KY 42503
(606) 451-0300
✔ PECOS✔ Accepts Medicare0.3 mi
Grant Allbritten, DO
Physical Medicine and Rehabilitation
NPI 1881273472
305 LANGDON ST
Somerset, KY 42503
(606) 679-7441
✔ PECOS0.3 mi
Justin Hunsucker, M.D.
Pulmonary Disease
NPI 1568720167
305 MEDPARK DR
Somerset, KY 42503
(606) 451-2950
✔ PECOS✔ Accepts Medicare0.3 mi
See all 78 clinicians

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 Lake Cumberland Physician Practices LLC's NPI number?

The NPI number for Lake Cumberland Physician Practices LLC is 1811396195. It was assigned to this organization in the NPPES registry on August 22, 2014. The provider is doing business as Lake Cumberland Surgery Specialists.

Where is Lake Cumberland Physician Practices LLC located?

Lake Cumberland Physician Practices LLC is located at 26 Oxford Way Ste B, Somerset, KY 42503. The listed phone number is (615) 920-7000.

What is Lake Cumberland Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lake Cumberland Physician Practices LLC enrolled in Medicare?

Yes. Lake Cumberland Physician Practices LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Cumberland Physician Practices LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 18 Medicare specialties reassign their Medicare billing to Lake Cumberland Physician Practices LLC. 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 (39), General Surgery (8) and Gastroenterology (5). Of these, 42 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Cumberland Physician Practices LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lake Cumberland Physician Practices LLC 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 Lake Cumberland Physician Practices LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.