Lake Dermatology Inc.
NPI 1689898447 · Dermatology Physician · Lafayette, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Dermatology Inc. is a Dermatology Physician organization in Lafayette, IN (NPI 1689898447).
Provider details
- NPI number
- 1689898447
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Lake, President(765) 538-3508
- License
- 01055166A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-04-12
- Last updated
- 2008-11-13
Frequently asked questions
- What is Lake Dermatology Inc.'s NPI number?
- Lake Dermatology Inc.'s National Provider Identifier (NPI) is 1689898447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Dermatology Inc.?
- Lake Dermatology Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Dermatology Inc. located?
- Lake Dermatology Inc.'s practice location on file with NPPES is 15 Executive Dr, Lafayette, IN 47905-3833.
- What is Lake Dermatology Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Dermatology Inc. is (765) 838-3428.
- Does Lake Dermatology Inc. accept Medicare?
- Lake Dermatology 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 Dermatology Inc.?
- The authorized official listed on Lake Dermatology Inc.'s NPPES record is Mark Lake, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Dermatology Inc.'s NPI active?
- Yes — Lake Dermatology Inc.'s NPI (1689898447) is active in the NPPES registry as of the last update on 2008-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.