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LAKE ERIE PODIATRY, LLC
NPI 1922164409
Podiatrist - Foot & Ankle Surgery in Erie, PA

Active since December 28, 2006
3910 CAUGHEY RD STE 130, ERIE, PA 16506(814) 833-3668(888) 329-6120 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Erie Podiatry, Llc NPPES

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

LAKE ERIE PODIATRY, LLC (NPI 1922164409) is a healthcare organization registered as a foot & ankle surgery in Erie, Pennsylvania and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Erie and lists Michael A Ruiz, Manager, as its authorized official.

NPPES Registry Identity

NPI1922164409
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE ERIE PODIATRY, LLC
Location Address3910 CAUGHEY RD STE 130Erie, PA 16506
Mailing Address3910 Caughey Rd Ste 130Erie, PA 16506-4097 · (814) 833-3668
Phone(814) 833-3668
Fax(888) 329-6120
Organization SubpartNo
Authorized OfficialMichael A RuizManager · (814) 833-3668
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 10, 2018
✔ NPI 1922164409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC004630L
3910 CAUGHEY RD STE 130, Erie, PA 16506
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Secondary Practice Location 1

Location 11444 W 38th St, Suite AErie, PA 16508-2346 · Phone (814) 866-5141

Other Identifiers 2

Medicaid0019415170002PA
Other480035188PA · Medicare Rrb

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Erie Podiatry, Llc 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 Lake Erie Podiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Ruiz, DPM
Podiatry
NPI 1114901881
1444 W 38TH ST
Erie, PA 16508
(814) 866-5141
✔ PECOS✔ Accepts Medicare2.9 mi

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 Erie Podiatry, LLC's NPI number?

The NPI number for Lake Erie Podiatry, LLC is 1922164409. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Lake Erie Podiatry, LLC located?

Lake Erie Podiatry, LLC is located at 3910 Caughey Rd Ste 130, Erie, PA 16506. The listed phone number is (814) 833-3668.

What is Lake Erie Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Lake Erie Podiatry, LLC enrolled in Medicare?

Yes. Lake Erie Podiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Erie Podiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lake Erie Podiatry, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Erie Podiatry, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lake Erie Podiatry, 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 Erie Podiatry, LLC was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.