DR. SASHA LAKE MD
NPI 1871480442
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since June 18, 2025PECOS Enrolled
1430 TULANE AVE # 8016, NEW ORLEANS, LA 70112(504) 988-1332(504) 988-8252 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sasha Lake Md NPPES

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

DR. SASHA LAKE MD (NPI 1871480442) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871480442
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SASHA LAKECredential: MD
Location Address1430 TULANE AVE # 8016New Orleans, LA 70112-2632
Mailing Address1430 Tulane Ave # 8016New Orleans, LA 70112-2632 · (504) 988-1332 · Fax (504) 988-8252
Fax(504) 988-8252
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
NPI 1871480442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1430 TULANE AVE # 8016, New Orleans, LA 70112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sasha Lake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Hospitalist
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE # 8016
NEW ORLEANS, LA 70112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871480442, enumerated as an "individual" on June 18, 2025.

The provider is located at 1430 TULANE AVE # 8016 NEW ORLEANS, LA 70112 and the phone number is (504) 988-1332.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.