Lakeside Podiatry, PLLC
NPI 1174396089 · Podiatrist · Victor, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Podiatry, PLLC is a Podiatrist organization in Victor, NY (NPI 1174396089).
Provider details
- NPI number
- 1174396089
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brian Haselsberger, Owner(585) 433-5040
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2023-11-02
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Frequently asked questions
- What is Lakeside Podiatry, PLLC's NPI number?
- Lakeside Podiatry, PLLC's National Provider Identifier (NPI) is 1174396089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Podiatry, PLLC?
- Lakeside Podiatry, PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Lakeside Podiatry, PLLC located?
- Lakeside Podiatry, PLLC's practice location on file with NPPES is 50 Square Dr Ste 1000, Victor, NY 14564-1062.
- What is Lakeside Podiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Podiatry, PLLC is (585) 433-5040.
- Does Lakeside Podiatry, PLLC accept Medicare?
- Lakeside Podiatry, PLLC 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 Lakeside Podiatry, PLLC?
- The authorized official listed on Lakeside Podiatry, PLLC's NPPES record is Brian Haselsberger, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Podiatry, PLLC's NPI active?
- Yes — Lakeside Podiatry, PLLC's NPI (1174396089) is active in the NPPES registry as of the last update on 2023-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.