PRIMEHEALTH INTERNAL MEDICINE MENTOR
NPI 1861420804
Internal Medicine in Mentor, OH

Q: What is Lake Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1861420804. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Primehealth Internal Medicine Mentor.

Q: What is Lake Hospital System, Inc.'s specialty?

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

Active since June 29, 2006

9485 MENTOR AVE, #210, MENTOR, OH 44060(440) 205-5745(440) 205-5735 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Primehealth Internal Medicine Mentor NPPES

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

PRIMEHEALTH INTERNAL MEDICINE MENTOR (NPI 1861420804) is a healthcare organization registered as an internal medicine in Mentor, Ohio and active in the NPI registry since June 2006. The organization lists Robert Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1861420804

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAKE HOSPITAL SYSTEM, INC.

Location Address9485 MENTOR AVE, #210Mentor, OH 44060-4597

Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (800) 354-1985 · Fax (440) 350-4938

Phone(440) 205-5745

Fax(440) 205-5735

Organization SubpartYes

Authorized OfficialRobert TraczChief Financial Officer · (440) 354-1051

Enumeration DateJune 29, 2006

Last NPPES UpdateSeptember 6, 2007

✔ NPI 1861420804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

9485 MENTOR AVE, Mentor, OH 44060

Open in Google Maps ↗

Other Names 1

Doing Business AsPrimehealth Internal Medicine Mentor

Other Identifiers 2

Medicaid2183499OH

Medicare PINLA9368241OH

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)

Primehealth Internal Medicine Mentor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Primehealth Internal Medicine Mentor, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 154 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115

Family Practice51

Internal Medicine20

Obstetrics/Gynecology16

Neurology12

General Surgery10

Pediatric Medicine10

Cardiovascular Disease (Cardiology)7

21 other specialties43

Nearest to this location (20)

See all 284

Victoria Couture, CNP

Nurse Practitioner

NPI 1497628465

9485 MENTOR AVE
Mentor, OH 44060

(440) 358-5725

✔ PECOS✔ Accepts MedicareSame address

Patty Diaz-Hall, DO

Family Practice

NPI 1841931177

9485 MENTOR AVE STE 210A
Mentor, OH 44060

(216) 541-1918

✔ PECOS✔ Accepts MedicareSame address

Alexandra Harris, C.N.P.

Nurse Practitioner

NPI 1750852620

9485 MENTOR AVE STE 210
Mentor, OH 44060

(440) 255-5571

✔ PECOS✔ Accepts MedicareSame address

Lena Kretzmer, MD, MPH

Pediatric Medicine

NPI 1164984894

9485 MENTOR AVE STE 101
Mentor, OH 44060

(440) 205-5800

✔ PECOSSame address

Kristen Parsell, CNP

Nurse Practitioner

NPI 1932472859

9485 MENTOR AVE STE 210B
Mentor, OH 44060

(440) 255-5571

✔ PECOS✔ Accepts MedicareSame address

Touhama Sayegh, M.D.

Internal Medicine

NPI 1285647271

9485 MENTOR AVENUE, SUITE 210
Mentor, OH 44060

(440) 205-5835

✔ PECOS✔ Accepts MedicareSame address

Sarah Small, C.N.P.

Nurse Practitioner

NPI 1578948824

9485 MENTOR AVENUE SUITE 210
Mentor, OH 44060

(440) 255-5571

✔ PECOS✔ Accepts MedicareSame address

John Baniewicz, MD

Internal Medicine

NPI 1285740530

9485 MENTOR AVE STE 210
Mentor, OH 44060

(440) 205-5835

✔ PECOS✔ Accepts Medicare0.1 mi

Stephen Baum, MD

Internal Medicine

NPI 1396847307

9485 MENTOR AVE STE 210
Mentor, OH 44060

(440) 205-5833

✔ PECOS0.1 mi

Jordan Becker, NP

Nurse Practitioner

NPI 1508107129

9485 MENTOR AVE STE 210
Mentor, OH 44060

(440) 255-5571

✔ PECOS✔ Accepts Medicare0.1 mi

Tina Butt, NP-C

Nurse Practitioner

NPI 1205023173

9485 MENTOR AVENUE SUITE 210
Mentor, OH 44060

(440) 255-5571

✔ PECOS✔ Accepts Medicare0.1 mi

Laura Cifra Bean, MD

Pediatric Medicine

NPI 1720194046

9485 MENTOR AVE #101
Mentor, OH 44060

(440) 205-5800

✔ PECOS0.1 mi

Diane Lester, MD

Pediatric Medicine

NPI 1043327125

9485 MENTOR AVENUE 101
Mentor, OH 44060

(440) 205-5800

✔ PECOS0.1 mi

Dean Pahr, D.O.

Anesthesiology

NPI 1417900473

9485 MENTOR AVE STE 200
Mentor, OH 44060

(440) 205-5799

✔ PECOS0.1 mi

Richard Kucera, MD

Family Practice

NPI 1326015041

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS0.2 mi

Gordon Bodzin, M.D.

General Surgery

NPI 1053388637

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-1899

✔ PECOS✔ Accepts Medicare0.2 mi

Marc Dinga, MD

Pulmonary Disease

NPI 1760470751

9500 MENTOR AVEMUE SUITE 100
Mentor, OH 44060

(440) 255-5620

✔ PECOS0.2 mi

Timothy Pritchard, M.D.

Colorectal Surgery (Proctology)

NPI 1225126824

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-0377

✔ PECOS0.2 mi

David Reznick, M.D.

Critical Care (Intensivists)

NPI 1821380023

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-0377

✔ PECOS✔ Accepts Medicare0.2 mi

Bradley Webb, M.D.

Orthopedic Surgery

NPI 1639321615

9500 MENTOR AVENUE SUITE 210
Mentor, OH 44060

(440) 352-1711

✔ PECOS✔ Accepts Medicare0.2 mi

See all 284 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 Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1861420804. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Primehealth Internal Medicine Mentor.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 9485 Mentor Ave #210, Mentor, OH 44060. The listed phone number is (440) 205-5745.

What is Lake Hospital System, Inc.'s specialty?

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

Is Lake Hospital System, Inc. enrolled in Medicare?

Yes. Lake Hospital System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System, Inc.. 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 (115), Family Practice (51) and Internal Medicine (20). Of these, 2 practice at this address and 154 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 Lake Hospital System, Inc. was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.