Lakeside Surgery PA
NPI 1831468800 · Surgery Physician · Rockwall, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Surgery PA is a Surgery Physician organization in Rockwall, TX (NPI 1831468800).
Provider details
- NPI number
- 1831468800
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terri Phillip, Practice Manager(972) 722-3290
- License
- J2983 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
Registry dates
- Enumerated
- 2011-12-21
- Last updated
- 2018-06-20
Frequently asked questions
- What is Lakeside Surgery PA's NPI number?
- Lakeside Surgery PA's National Provider Identifier (NPI) is 1831468800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Surgery PA?
- Lakeside Surgery PA is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Surgery PA located?
- Lakeside Surgery PA's practice location on file with NPPES is 4450 Tubbs Rd, Rockwall, TX 75032-6308.
- What is Lakeside Surgery PA's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Surgery PA is (972) 772-3290.
- Does Lakeside Surgery PA accept Medicare?
- Lakeside Surgery PA 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 Surgery PA?
- The authorized official listed on Lakeside Surgery PA's NPPES record is Terri Phillip, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Surgery PA's NPI active?
- Yes — Lakeside Surgery PA's NPI (1831468800) is active in the NPPES registry as of the last update on 2018-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.