Lake Erie Podiatry, LLC
NPI 1922164409 · Foot & Ankle Surgery Podiatrist · Erie, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Erie Podiatry, LLC is a Foot & Ankle Surgery Podiatrist organization in Erie, PA (NPI 1922164409).
Provider details
- NPI number
- 1922164409
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Michael Ruiz, Manager(814) 833-3668
- License
- SC004630L (PA)
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1444 W 38th StSuite aErie, PA 16508-2346Phone: (814) 866-5141
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2018-08-10
Frequently asked questions
- What is Lake Erie Podiatry, LLC's NPI number?
- Lake Erie Podiatry, LLC's National Provider Identifier (NPI) is 1922164409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Erie Podiatry, LLC?
- Lake Erie Podiatry, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Lake Erie Podiatry, LLC located?
- Lake Erie Podiatry, LLC's practice location on file with NPPES is 3910 Caughey Rd Ste 130, Erie, PA 16506.
- What is Lake Erie Podiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Erie Podiatry, LLC is (814) 833-3668.
- Does Lake Erie Podiatry, LLC accept Medicare?
- Lake Erie Podiatry, LLC 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 Erie Podiatry, LLC?
- The authorized official listed on Lake Erie Podiatry, LLC's NPPES record is Michael Ruiz, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Erie Podiatry, LLC's NPI active?
- Yes — Lake Erie Podiatry, LLC's NPI (1922164409) is active in the NPPES registry as of the last update on 2018-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.