LAKE REGIONAL HEALTH SYSTEM
LAKE REGIONAL HEALTH SYSTEM is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053581454, based in Osage Beach, MO. The organization lists 2 taxonomy classifications, with Emergency Medical Services (Emergency Medicine) Physician recorded as primary.
Getting there
The practice address on file is 54 HOSPITAL DR, Osage Beach, MO 65065. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 291-30 | MO | Emergency Medical Services (Emergency… primary |
| 291-30 | MO | Registered Dietitian |
This provider holds licence 291-30 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9133026776
- Enrollment ID
- O20070511000147
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Emergency Medical Services covers
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. NUCC Health Care Provider Taxonomy, code 207PE0004X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services | 291-30 | MO | primary |
| 133V00000X | Registered Dietitian | 291-30 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1053581454 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 3, 2008 |
| Last updated | Oct 12, 2023 |
| Status | Active |
| Practice address |
54 HOSPITAL DR Osage Beach, MO 65065 (573) 348-8000 Fax (573) 348-8069 |
| Mailing address |
PO BOX 801661 Kansas City, MO 64180 |
| Other identifiers |
540671609
· Medicaid (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 5 | 8 | 1 | 4 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 1 | 8 | 2 | 4 | 1 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.