Organization provider

LAKESIDE SURGERY PA

Surgery Physician Medicare enrolled

LAKESIDE SURGERY PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1831468800, based in Rockwall, TX. It is classified under Surgery Physician.

Getting there

The practice address on file is 4450 TUBBS RD, Rockwall, TX 75032. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4450 TUBBS RD, Rockwall, TX 75032 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
K6483 TX Surgery Physician primary
J2983 TX Surgery Physician
P6593 TX Surgery Physician

This provider holds licence K6483 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7618121021

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208600000X Surgery Physician K6483 TX primary
208600000X Surgery Physician J2983 TX
208600000X Surgery Physician P6593 TX

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.

NPI1831468800 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 21, 2011
Last updatedJun 20, 2018
StatusActive
Practice address 4450 TUBBS RD
Rockwall, TX 75032
(972) 772-3290
Fax (972) 722-3815
Other identifiers 1326097676 · NPI # (TX)
1952393415 · NPI # (TX)
J2983 · TX LICENSE (TX)
K6483 · TX LICENSE (TX)
P6593 · STATE LICENSE (TX)
This record was last updated on Jun 20, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1831468800 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 8 3 1 4 6 8 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 6 1 8 6 7 8 0

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

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.

Common questions

What is NPI number 1831468800?
NPI 1831468800 is the National Provider Identifier assigned to LAKESIDE SURGERY PA in Rockwall, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact LAKESIDE SURGERY PA?
The phone number on file with NPPES is (972) 772-3290, last updated Jun 20, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LAKESIDE SURGERY PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1831468800 a valid number?
Yes. 1831468800 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.