LAKESIDE FAMILY PHYSICIANS PLLC
NPI 1891902458
Clinic/Center - Primary Care in Issaquah, WA
About Lakeside Family Physicians Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE FAMILY PHYSICIANS PLLC (NPI 1891902458) is a healthcare organization registered as a primary care in Issaquah, Washington and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Anthem and lists Samantha Maplethorpe, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Physicians 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 Physicians PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lakeside Family Physicians PLLC's NPI number?
The NPI number for Lakeside Family Physicians PLLC is 1891902458. It was assigned to this organization in the NPPES registry on May 16, 2007.
Where is Lakeside Family Physicians PLLC located?
Lakeside Family Physicians PLLC is located at 390 E Sunset Way, Issaquah, WA 98027. The listed phone number is (425) 246-0225.
What is Lakeside Family Physicians PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Lakeside Family Physicians PLLC enrolled in Medicare?
Yes. Lakeside Family Physicians PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Family Physicians PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lakeside Family Physicians 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.
When was this NPI record last updated?
The NPPES record for Lakeside Family Physicians PLLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lakeside Family Physicians Pllc · NPI 1891902458
Primary Care organization in Issaquah, Washington. Organization record, active in the CMS NPPES registry since May 16, 2007.
## Identity
- **NPI:** 1891902458 (Entity type: Organization)
- **Enumerated:** May 16, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Samantha Maplethorpe, OWNER
## Practice location
- **Address:** 390 E SUNSET WAY, Issaquah, WA 98027-3441
- **Phone:** (425) 246-0225 · **Fax:** (425) 395-0245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891902458) · Data from the CMS NPPES public registry.