Samuel Solomon Lake, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

75442 Issued in WI

Practice address

1110 W Schick Rd
Bartlett, IL 60103-3007

Phone

(630) 372-1100

Fax

(630) 372-6230

NPI assigned

Apr 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Chicago College of Medicine and Surgery, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Orthopaedics LTDGroup PAC ID 7113950700, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avotre Home Health Inc Home health agency, Des Plaines, IL, CCN 148382
• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
• Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Merit-based Incentive Payment System (MIPS)

Final score

66.79 of 100Reported as group

Quality

24.52

Promoting interoperability

96

Improvement activities

40

Cost

65.68

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Suburban Orthopaedics LTD

  • Orthopaedic Surgery Physician
  • Bartlett, IL
  • NPI 1275749475
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Sherman Hospital

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1629026364
  Care Compare affiliation
• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• Avotre Home Health, Inc.

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1225697048
  Care Compare affiliation
• Sherman Hospital

  • Skilled Nursing Facility
  • Elgin, IL
  • NPI 1275584302

  Hospital

  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385
  Care Compare affiliation

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154784387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-372-1100",
            "fax_number": "630-372-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-372-1100",
            "fax_number": "630-372-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 E Washington Ave Apt 934",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537036512",
            "country_code": "US",
            "telephone_number": "847-331-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "SAMUEL",
        "middle_name": "SOLOMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-09-11",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "75442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICAL LICENSE",
            "identifier": "036.160356",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen R Kochman-Simon, M.D.
• Morgan Kolecke, LCPC
• Colleen Koncilja, LCSW
• Robin Kulesza, MA, LCPC
• Reshma Joshi Lagomarcino, L.C.P.C.
• Joseph Lange
• Lauren a Weitz DDS in
• Graham Lawless, NP
• Angelica Leano, DMD
• Josefina Leautaud, M.S. SLP

• Orthopaedic Surgery Physician in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.