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LAKE GASTROENTEROLOGY ASSOCIATES LLC
NPI 1972801827
Internal Medicine - Gastroenterology in Tavares, FL

Active since March 02, 2011CLIA 10D2027269 · Certificate of Compliance
1703 MAYO DR, TAVARES, FL 32778(352) 383-5200(352) 383-3534 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1972801827
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLAKE GASTROENTEROLOGY ASSOCIATES LLC
Location Address1703 MAYO DRTavares, FL 32778-4307
Mailing AddressPo Box 1345Mount Dora, FL 32756-1345 · (352) 383-5200 · Fax (352) 383-3534
Phone(352) 383-5200
Fax(352) 383-3534
Organization SubpartNo
Authorized OfficialSoundarapandian BaskarOwner/officer · (352) 636-3652
Enumeration DateMarch 2, 2011
Last NPPES UpdateMay 4, 2011
✔ NPI 1972801827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1703 MAYO DR, Tavares, FL 32778
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Other Identifiers 1

Medicare PINEU008AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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, FL
Active · expires Dec 28, 2027
CLIA Number10D2027269
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorHamed Elfeky
Laboratory Phone(352) 383-5200
Laboratory LocationLake Gastroenterology Associates LLC1858 Mayo Dr, Tavares, FL 32778
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

BHARATHI RAMAIAH MD
Internal Medicine (Gastroenterology)
1703 MAYO DR
TAVARES, FL 32778
Lake County (352) 383-5200
SOUNDARAPANDIAN BASKAR MD
Internal Medicine (Gastroenterology)
1703 MAYO DR
TAVARES, FL 32778
Lake County (352) 383-5200

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 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.

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.