Lake Shore Medical Associates LTD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

LAKE SHORE MEDICAL ASSOCIATES LTD

Doing business as

Vijayalakshmi Arekapudi MD

Practice address

2222 W Division St Ste 116
Chicago, IL 60622-3093

Phone

(773) 525-7720

Fax

(773) 525-9199

NPI assigned

May 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vijayalakshmi Arekapudi, M.D.NPI 1285622878

Title

President

Phone

(773) 525-7720

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vijayalakshmi Arekapudi MD Doing business as

Tax ID family

Lake Shore Medical Associates LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Shore Medical Associates, LTD.

  • Clinic/Center
  • Chicago, IL
  • NPI 1093703688
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijayalakshmi Arekapudi, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1285622878
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1104083070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141321",
            "telephone_number": "773-525-7720",
            "fax_number": "773-525-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223093",
            "telephone_number": "773-525-7720",
            "fax_number": "773-525-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "AREKAPUDI",
        "authorized_official_first_name": "VIJAYALAKSHMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-525-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION FILE# ILLINOIS",
            "identifier": "D 5245-919-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vijayalakshmi Arekapudi MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Shore Cardiology Group, LTD.
• Lake Shore Care Center LLC
• Lake Shore Foot & Ankle PC
• Lake Shore Foot & Ankle, PC
• Lake Shore Healthcare & Rehabilitation Centre LLC
• Lake Shore Medical Associates, LTD.
• Lake Shore Medical Consultants, S.C.
• Lake Shore Medical Services
• Lake Shore Medicar, Inc.
• Lake Shore Mental Health Services

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.