LAKESIDE FAMILY HEALTH CARE PLLC
NPI 1811885288
Family Medicine in Rockwall, TX

Active since June 25, 2025CLIA 45D2326448 · Waiver
6701 HERITAGE PKWY STE 140, ROCKWALL, TX 75087(972) 460-3500(972) 460-3501 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Sep 18, 2025, Jun 25, 2025 (3 updates tracked since 2025).

About Lakeside Family Health Care Pllc NPPES

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

LAKESIDE FAMILY HEALTH CARE PLLC (NPI 1811885288) is a healthcare organization registered as a family medicine in Rockwall, Texas and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Elizabeth Vu, Owner, as its authorized official.

NPPES Registry Identity

NPI1811885288
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE FAMILY HEALTH CARE PLLC
Location Address6701 HERITAGE PKWY STE 140Rockwall, TX 75087-8747
Mailing Address9330 Lbj Fwy Ste 800Dallas, TX 75243-4310 · (972) 792-5700 · Fax (214) 506-1170
Fax(972) 460-3501
Organization SubpartNo
Authorized OfficialElizabeth VuOwner · (214) 762-2216
Enumeration DateJune 25, 2025
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1811885288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6701 HERITAGE PKWY STE 140, Rockwall, TX 75087

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Family Health Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Family Health Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1154602829
6701 HERITAGE PKWY STE 140
Rockwall, TX 75087
(972) 460-3500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2326448

Lakeside Family Health Care · Rockwall, TX
Active · expires Jul 2, 2027
CLIA Number45D2326448
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorElizabeth Vu
Laboratory Phone(972) 460-3500
Laboratory LocationLakeside Family Health Care6701 Heritage Pkwy Ste 140, Rockwall, TX 75087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Health Care PLLC's NPI number?

The NPI number for Lakeside Family Health Care PLLC is 1811885288. It was assigned to this organization in the NPPES registry on June 25, 2025.

Where is Lakeside Family Health Care PLLC located?

Lakeside Family Health Care PLLC is located at 6701 Heritage Pkwy Ste 140, Rockwall, TX 75087. The listed phone number is (972) 460-3500.

What is Lakeside Family Health Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lakeside Family Health Care PLLC enrolled in Medicare?

Yes. Lakeside Family Health Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Family Health Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lakeside Family Health Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lakeside Family Health Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326448) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Family Health Care PLLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.