LAKESHORE RHEUMATOLOGY, PLLC
NPI 1942065677
Internal Medicine - Rheumatology in Winter Garden, FL

Q: What is Lakeshore Rheumatology, PLLC's NPI number?

The NPI number for Lakeshore Rheumatology, PLLC is 1942065677. It was assigned to this organization in the NPPES registry on February 21, 2024. The provider is doing business as Lakeshore Rheumatology.

Q: What is Lakeshore Rheumatology, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since February 21, 2024

15532 W COLONIAL DR STE C, WINTER GARDEN, FL 34787(407) 554-9200(407) 554-9202 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Lakeshore Rheumatology, Pllc NPPES

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

LAKESHORE RHEUMATOLOGY, PLLC (NPI 1942065677), doing business as Lakeshore Rheumatology, is a healthcare organization registered as a rheumatology in Winter Garden, Florida and active in the NPI registry since February 2024. The organization lists Andrea Mccullum Mejia, Physician, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1942065677

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameLAKESHORE RHEUMATOLOGY, PLLC

Location Address15532 W COLONIAL DR STE CWinter Garden, FL 34787-9570

Mailing Address15532 W Colonial Dr Ste CWinter Garden, FL 34787-9570 · (407) 554-9200 · Fax (407) 554-9202

Phone(407) 554-9200

Fax(407) 554-9202

Organization SubpartNo

Authorized OfficialAndrea Mccullum MejiaPhysician, Sole Owner · (502) 693-5269

Enumeration DateFebruary 21, 2024

Last NPPES UpdateApril 3, 2025

NPPES CertifiedMarch 14, 2025

✔ NPI 1942065677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

15532 W COLONIAL DR STE C, Winter Garden, FL 34787

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Other Names 1

Doing Business AsLakeshore Rheumatology

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)

Lakeshore Rheumatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeshore Rheumatology, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Andrea Mccullum Mejia, D.O.

Rheumatology

NPI 1023464054

1100 SOUTHFIELD DR STE 1330
Plainfield, IN 46168

(317) 837-5510

✔ PECOS✔ Accepts Medicare815 mi

Juan Mejia Garces, M.D.

Internal Medicine

NPI 1679883771

1100 SOUTHFIELD DR STE 1330
Plainfield, IN 46168

(317) 837-5510

✔ PECOS✔ Accepts Medicare815 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 Lakeshore Rheumatology, PLLC's NPI number?

The NPI number for Lakeshore Rheumatology, PLLC is 1942065677. It was assigned to this organization in the NPPES registry on February 21, 2024. The provider is doing business as Lakeshore Rheumatology.

Where is Lakeshore Rheumatology, PLLC located?

Lakeshore Rheumatology, PLLC is located at 15532 W Colonial Dr Ste C, Winter Garden, FL 34787. The listed phone number is (407) 554-9200.

What is Lakeshore Rheumatology, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Lakeshore Rheumatology, PLLC enrolled in Medicare?

Yes. Lakeshore Rheumatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Rheumatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lakeshore Rheumatology, PLLC, in Internal Medicine and Rheumatology. 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 Lakeshore Rheumatology, PLLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.