Active NPI
Jeremy M Lake, MD
- Gastroenterology Physician
- Hillsboro, OR
National Provider Identifier
1114909371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD24736
- Practice address
- 333 SE 7TH Ave Ste 5200
Hillsboro, OR 97123-4182 - Phone
- (503) 681-4310
- Fax
- (503) 681-1989
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD24736 | OR | Primary |
Addresses
Primary practice location
333 SE 7TH Ave Ste 5200
Hillsboro, OR 97123-4182
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183065 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Washington School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
333 SE 7TH Ave
Suite 5200
Hillsboro, OR 97123-4182
Phone (503) 681-4310
Hospital & facility affiliations
- Hillsboro Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 77 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients |
Locations
333 SE 7th Ave
Hillsboro, OR 97123
Phone (503) 597-4500
333 SE 7th Ave
Ste 5200
Hillsboro, OR 97123
Phone (503) 640-5737
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
1400 SW 5th Ave
Ste 500
Portland, OR 97201
Interoperability endpoints
- jlake110307@direct.ohsu.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1336228659
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1114909371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SE 7TH AVE STE 5200",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234182",
"telephone_number": "503-681-4310",
"fax_number": "503-681-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "JEREMY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "MD24736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183065",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.