Lake Regional Medical Management, Inc.
NPI 1639134158 · Multi-Specialty Clinic/Center · Osage Beach, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Regional Medical Management, Inc. is a Multi-Specialty Clinic/Center organization in Osage Beach, MO (NPI 1639134158).
Provider details
- NPI number
- 1639134158
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Mcroberts, Ceo(573) 348-8756
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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)
- Doing business as
- Lake Regional Medical Group
- Doing business as
- Lake Regional Medical Group
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Frequently asked questions
- What is Lake Regional Medical Management, Inc.'s NPI number?
- Lake Regional Medical Management, Inc.'s National Provider Identifier (NPI) is 1639134158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Regional Medical Management, Inc.?
- Lake Regional Medical Management, Inc. is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Regional Medical Management, Inc. located?
- Lake Regional Medical Management, Inc.'s practice location on file with NPPES is 54 Hospital Dr, Osage Beach, MO 65065-3050.
- What is Lake Regional Medical Management, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Regional Medical Management, Inc. is (573) 348-8074.
- Does Lake Regional Medical Management, Inc. accept Medicare?
- Lake Regional Medical Management, Inc. 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 Regional Medical Management, Inc.?
- The authorized official listed on Lake Regional Medical Management, Inc.'s NPPES record is Kevin Mcroberts, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Regional Medical Management, Inc.'s NPI active?
- Yes — Lake Regional Medical Management, Inc.'s NPI (1639134158) is active in the NPPES registry as of the last update on 2024-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.