LAKESHORE VEINS S. C.
NPI 1992135925
Radiology - Diagnostic Radiology in Mequon, WI

Active since November 12, 2013
1361 W TOWNE SQUARE RD, MEQUON, WI 53092(262) 787-4050 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Jan 31, 2017 (2 updates tracked since 2017).

About Lakeshore Veins S. C. NPPES

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

LAKESHORE VEINS S. C. (NPI 1992135925) is a healthcare organization registered as a diagnostic radiology in Mequon, Wisconsin and active in the NPI registry since November 2013. The organization lists Anne E Bartel, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1992135925
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKESHORE VEINS S. C.
Location Address1361 W TOWNE SQUARE RDMequon, WI 53092-5047
Mailing Address1361 W Towne Square RdMequon, WI 53092-5047 · (262) 241-3999 · Fax (262) 241-8003
Organization SubpartNo
Authorized OfficialAnne E BartelAuthorized Representative · (262) 787-4050
Enumeration DateNovember 12, 2013
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1992135925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 38291
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1361 W TOWNE SQUARE RD, Mequon, WI 53092

Other Identifiers 1

Medicaid32614400WI

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

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 Veins S. C. 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 Lakeshore Veins S. C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Diagnostic Radiology
NPI 1467443887
1361 W TOWNE SQUARE RD
Mequon, WI 53092
(262) 241-3999
✔ PECOS✔ Accepts MedicareSame address

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 Veins S. C.'s NPI number?

The NPI number for Lakeshore Veins S. C. is 1992135925. It was assigned to this organization in the NPPES registry on November 12, 2013.

Where is Lakeshore Veins S. C. located?

Lakeshore Veins S. C. is located at 1361 W Towne Square Rd, Mequon, WI 53092. The listed phone number is (262) 787-4050.

What is Lakeshore Veins S. C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lakeshore Veins S. C. enrolled in Medicare?

Yes. Lakeshore Veins S. C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Veins S. C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Lakeshore Veins S. C.. 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 Veins S. C. was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.