Lake Region Medical Center, P.C.
NPI 1912105602 · Family Medicine Physician · Berrien Springs, MI
Lake Region Medical Center, P.C. is a Family Medicine Physician organization in Berrien Springs, MI (NPI 1912105602).
Provider details
- NPI number
- 1912105602
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Mosimbwa, Medical Director(269) 362-7791
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- Goodhope Medical Group
Registry dates
- Enumerated
- 2007-07-05
- Last updated
- 2011-04-01
Frequently asked questions
- What is Lake Region Medical Center, P.C.'s NPI number?
- Lake Region Medical Center, P.C.'s National Provider Identifier (NPI) is 1912105602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Region Medical Center, P.C.?
- Lake Region Medical Center, P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Region Medical Center, P.C. located?
- Lake Region Medical Center, P.C.'s practice location on file with NPPES is 8981 George Ave, Berrien Springs, MI 49103-1407.
- What is Lake Region Medical Center, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Region Medical Center, P.C. is (269) 471-9436.
- Who is the authorized official for Lake Region Medical Center, P.C.?
- The authorized official listed on Lake Region Medical Center, P.C.'s NPPES record is Charles Mosimbwa, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Region Medical Center, P.C.'s NPI active?
- Yes — Lake Region Medical Center, P.C.'s NPI (1912105602) is active in the NPPES registry as of the last update on 2011-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.