LAKE GASTROENTEROLOGY ASSOCIATES LLC
NPI 1972801827
Internal Medicine - Gastroenterology in Tavares, FL
About Lake Gastroenterology Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE GASTROENTEROLOGY ASSOCIATES LLC (NPI 1972801827) is a healthcare organization registered as a gastroenterology in Tavares, Florida and active in the NPI registry since March 2011. The organization holds a CLIA Certificate of Compliance certificate valid through December 28, 2027 and lists Soundarapandian Baskar, Owner/officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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 Gastroenterology Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Lake Gastroenterology Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 10D2027269
Lake Gastroenterology Associates LLC · Tavares, FLFrequently 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 Gastroenterology Associates LLC's NPI number?
The NPI number for Lake Gastroenterology Associates LLC is 1972801827. It was assigned to this organization in the NPPES registry on March 2, 2011.
Where is Lake Gastroenterology Associates LLC located?
Lake Gastroenterology Associates LLC is located at 1703 Mayo Dr, Tavares, FL 32778. The listed phone number is (352) 383-5200.
What is Lake Gastroenterology Associates LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Lake Gastroenterology Associates LLC enrolled in Medicare?
Yes. Lake Gastroenterology Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Gastroenterology Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Lake Gastroenterology Associates 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. The largest specialties are Nurse Practitioner (5), Pathology (4) and Gastroenterology (3). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Gastroenterology Associates LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D2027269) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Gastroenterology Associates LLC accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Lake Gastroenterology Associates 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 Gastroenterology Associates LLC was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lake Gastroenterology Associates Llc · NPI 1972801827
Gastroenterology organization in Tavares, Florida. Organization record, active in the CMS NPPES registry since March 2, 2011.
## Identity
- **NPI:** 1972801827 (Entity type: Organization)
- **Enumerated:** March 2, 2011
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Soundarapandian Baskar, OWNER/OFFICER
## Practice location
- **Address:** 1703 MAYO DR, Tavares, FL 32778-4307
- **Phone:** (352) 383-5200 · **Fax:** (352) 383-3534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Pathology (4), Gastroenterology (3); 2 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2011
- **Other identifiers:** Medicare PIN EU008A (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972801827) · Data from the CMS NPPES public registry.