Lake Erie Medical Group PC
NPI 1053696997 · Internal Medicine Physician · Erie, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Erie Medical Group PC is a Internal Medicine Physician organization in Erie, PA (NPI 1053696997).
Provider details
- NPI number
- 1053696997
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tamara Hatt, Senior Enrollment Specialist(814) 452-5772
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Niagara Internal Medicine
Registry dates
- Enumerated
- 2011-10-11
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Frequently asked questions
- What is Lake Erie Medical Group PC's NPI number?
- Lake Erie Medical Group PC's National Provider Identifier (NPI) is 1053696997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Erie Medical Group PC?
- Lake Erie Medical Group PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Erie Medical Group PC located?
- Lake Erie Medical Group PC's practice location on file with NPPES is 2501 W 12th St Ste C10, Erie, PA 16505-4527.
- What is Lake Erie Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Erie Medical Group PC is (814) 580-5600.
- Does Lake Erie Medical Group PC accept Medicare?
- Lake Erie Medical Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Erie Medical Group PC?
- The authorized official listed on Lake Erie Medical Group PC's NPPES record is Tamara Hatt, Senior Enrollment Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Erie Medical Group PC's NPI active?
- Yes — Lake Erie Medical Group PC's NPI (1053696997) is active in the NPPES registry as of the last update on 2020-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.