LAKE CUMBERLAND REGIONAL HOSPITAL LLC
NPI 1861078685
Internal Medicine in Somerset, KY

Q: What is Lake Cumberland Regional Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 22, 2021

110 HARDIN LN STE 9, SOMERSET, KY 42503(606) 679-7316(606) 679-0139 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2022, Sep 24, 2022, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

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About Lake Cumberland Regional Hospital Llc NPPES

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

LAKE CUMBERLAND REGIONAL HOSPITAL LLC (NPI 1861078685) is a healthcare organization registered as an internal medicine in Somerset, Kentucky and active in the NPI registry since March 2021. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1861078685

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAKE CUMBERLAND REGIONAL HOSPITAL LLC

Location Address110 HARDIN LN STE 9Somerset, KY 42503-3818

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000

Phone(606) 679-7316

Fax(606) 679-0139

Organization SubpartNo

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000

Enumeration DateMarch 22, 2021

Last NPPES UpdateOctober 7, 20224 updates tracked since enumeration

NPPES CertifiedOctober 7, 2022

✔ NPI 1861078685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

110 HARDIN LN STE 9, Somerset, KY 42503

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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 Regional Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 88 clinicians reassign Medicare billing to Lake Cumberland Regional Hospital LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner25

Family Practice20

Internal Medicine15

Obstetrics/Gynecology7

Emergency Medicine3

Gastroenterology3

General Surgery3

Hospitalist3

7 other specialties9

Nearest to this location (20)

See all 88

Mateen Ahmed, M.D

Pulmonary Disease

NPI 1922028604

110 HARDIN LANE SUITE10
Somerset, KY 42503

(606) 678-0946

✔ PECOS✔ Accepts MedicareSame address

Ibraiz Iqbal, MD

Interventional Cardiology

NPI 1720067168

104 HARDIN LN SUITE B
Somerset, KY 42503

(606) 677-1112

✔ PECOS✔ Accepts MedicareSame address

Valerie Allen, APRN

Nurse Practitioner

NPI 1457794604

350 HOSPITAL WAY
Somerset, KY 42503

(606) 451-2600

✔ PECOS✔ Accepts Medicare0.2 mi

Sean Desimone, DO

Internal Medicine

NPI 1225422041

350 HOSPITAL WAY SUITE 101
Somerset, KY 42503

(606) 451-5093

✔ PECOS✔ Accepts Medicare0.2 mi

Daniel Gallo, M.D.

Internal Medicine

NPI 1861562746

350 HOSPITAL WAY STE 100
Somerset, KY 42503

(606) 451-2600

✔ PECOS✔ Accepts Medicare0.2 mi

Ashley Harris, D.O.

Internal Medicine

NPI 1760878680

350 HOSPITAL WAY SUITE 101
Somerset, KY 42503

(606) 451-5093

✔ PECOS✔ Accepts Medicare0.2 mi

Robin Goff, APRN

Nurse Practitioner

NPI 1710381124

350 HOSPITAL WAY
Somerset, KY 42503

(606) 451-2601

✔ PECOS✔ Accepts Medicare0.2 mi

Larry Oteham, D.O.

Family Practice

NPI 1700852639

350 HOSPITAL WAY STE 101
Somerset, KY 42503

(606) 451-5092

✔ PECOS✔ Accepts Medicare0.2 mi

Timothy Poynter, ARNP

Nurse Practitioner

NPI 1982666897

350 HOSPITAL WAY SUITE 100
Somerset, KY 42503

(606) 451-2671

✔ PECOS✔ Accepts Medicare0.2 mi

Meghan Campbell

Hospitalist

NPI 1407397342

305 LANGDON ST
Somerset, KY 42503

(606) 679-7441

✔ PECOS✔ Accepts Medicare0.2 mi

Jaysie Smith, DO

Family Practice

NPI 1477294031

305 LANGDON ST
Somerset, KY 42503

(606) 451-5093

✔ PECOS✔ Accepts Medicare0.2 mi

Rainer Oliver, DO

Emergency Medicine

NPI 1043664774

350 HOSPITAL WAY SUITE 101
Somerset, KY 42503

(606) 451-5093

✔ 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

Wael Ghanim, M.D.

Hospitalist

NPI 1841241668

305 LANGDON ST
Somerset, KY 42503

(606) 679-7441

✔ PECOS0.2 mi

Michael Citak, M.D.

General Surgery

NPI 1538275557

350 HOSPITAL WAY SUITE 250
Somerset, KY 42503

(606) 451-6005

✔ PECOS✔ Accepts Medicare0.2 mi

Joseph Eid, MD

General Surgery

NPI 1467894113

305 LANGDON ST
Somerset, KY 42503

(606) 678-3315

✔ PECOS✔ Accepts Medicare0.2 mi

Bernard Williams, MD

Emergency Medicine

NPI 1760413058

305 LANGDON ST
Somerset, KY 42503

(606) 679-7441

✔ PECOS0.2 mi

Robert Cameron, M.D.

Interventional Cardiology

NPI 1366422644

349 BOGLE ST SUITE B
Somerset, KY 42503

(606) 451-9448

✔ PECOS✔ Accepts Medicare0.3 mi

John Bruner

Obstetrics/Gynecology

NPI 1194821249

333 BOGLE ST
Somerset, KY 42503

(606) 678-0705

✔ PECOS✔ Accepts Medicare0.4 mi

Tolulope Fatokun, M.D.

Obstetrics/Gynecology

NPI 1538579826

333 BOGLE ST
Somerset, KY 42503

(606) 678-0705

✔ PECOS✔ Accepts Medicare0.4 mi

See all 88 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 Regional Hospital LLC's NPI number?

The NPI number for Lake Cumberland Regional Hospital LLC is 1861078685. It was assigned to this organization in the NPPES registry on March 22, 2021.

Where is Lake Cumberland Regional Hospital LLC located?

Lake Cumberland Regional Hospital LLC is located at 110 Hardin Ln Ste 9, Somerset, KY 42503. The listed phone number is (606) 679-7316.

What is Lake Cumberland Regional Hospital LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lake Cumberland Regional Hospital LLC enrolled in Medicare?

Yes. Lake Cumberland Regional Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Cumberland Regional Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 15 Medicare specialties reassign their Medicare billing to Lake Cumberland Regional Hospital 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 (25), Family Practice (20) and Internal Medicine (15). Of these, 1 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Cumberland Regional Hospital LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lake Cumberland Regional Hospital 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 Regional Hospital LLC was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.