Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1235646191
Lake Point Medical Group, Llc
Organization Subpart: NO
Active
NPI Number1235646191
NPI TypeNPI-2 Organization
SpecialtyPodiatrist
Provider Details
NPI1235646191
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2018-01-01
Last Updated2026-04-02
Authorized OfficialElizabeth Khuri
managing member
Phone: 2163077651
Mailing Address15800 Detroit Ave
Lakewood, OH 44107-3748
United States
Phone: (216) 307-7651
📍 View Map
Primary Practice Address15800 Detroit Ave Ste 2a
Lakewood, OH 44107-3748
United States
Phone: (216) 226-8700 | Fax: (216) 221-3171
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Q00000X – Family Medicine--
No207R00000X – Internal Medicine--
No213ES0103X – Podiatrist, Foot & Ankle Surgery--
No101YP2500X – Counselor, Professional--
Yes213E00000X – Podiatrist--
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About NPI 1235646191

Lake Point Medical Group, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1235646191. The primary specialty listed is Podiatrist. The organization is located in Lakewood, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-01-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1235646191?

NPI 1235646191 belongs to Lake Point Medical Group, Llc, a Podiatrist in Lakewood, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1235646191 active?

The current status of NPI 1235646191 in the NPPES registry is Active. The record was last updated on 2026-04-02.

What specialty is NPI 1235646191?

NPI 1235646191 is classified under the taxonomy Podiatrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1235646191?

You can verify NPI 1235646191 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1235646191?

The primary practice address on file for NPI 1235646191 is 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1235646191 issued?

NPI 1235646191 was first issued (enumerated) on 2018-01-01. The NPPES record was last updated on 2026-04-02.

Practice Location Map

Lake Point Medical Group, Llc is located at 15800 Detroit Ave Ste 2a, Lakewood, OH. Use the map below to find directions or verify the practice location.

📍 15800 Detroit Ave Ste 2a, Lakewood, OH 44107-3748  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Lake Point Medical Group, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-22 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162