Yared D Lakew, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME92618 Issued in FL

Practice address

3234 S Florida Ave
Ste F
Lakeland, FL 33803-4564

Phone

(863) 648-4275

Fax

(863) 648-9520

NPI assigned

May 2, 2006

Last updated

Jun 3, 2008By the provider in NPPES

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 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Endeavors LLC

  dba Caring Medical Group

  • General Practice Physician
  • Tampa, FL
  • NPI 1861543803
  NPD (past)
• Clearwater Physicians Group LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1053578914
  NPD (past)
• Lakeland Physicians Group

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1225069735
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1386602167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 S FLORIDA AVE",
            "address_2": "STE F",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034564",
            "telephone_number": "863-648-4275",
            "fax_number": "863-648-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 S FLORIDA AVE",
            "address_2": "STE F",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034564",
            "telephone_number": "863-648-4275",
            "fax_number": "863-648-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKEW",
        "first_name": "YARED",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9433342",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00463382",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTHCARE",
            "identifier": "09450",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "212856939989",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "302796",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "334559",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4452573",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTHCARE",
            "identifier": "144389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeside Pediatrics
• Lakeside Pediatrics North
• Lakeside Pediatrics South
• Lakeview Anesthesia LLC
• Lakeview SNF Operations LLC (Breezy Hills Rehab and Care Center)
• Karishma Lakhani, DO
• Raam Satish Lakhani, MD
• Magge Shree Lakshmi, MD
• Gabriella Lalama
• Rajesh Lall, MD

• Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.