Active NPI
Robert Scott Lake, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 22236
- Practice address
- 2097 Henry Tecklenburg Dr Ste 201W
Charleston, SC 29414-5739 - Phone
- (843) 402-1211
- Fax
- (843) 606-8088
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22236 | SC | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 22236 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr Ste 201W
Charleston, SC 29414-5739
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222360 | Medicaid | SC | |
| P00727226 | Other | SC | RAILROAD MEDICARE ID-RSFPP |
| P00269321 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Hospice/Palliative Care
- Education
- Tulane University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426
300 Callen Blvd
Summerville, SC 29486-2809
3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426
Hospital & facility affiliations
- Roper St Francis Hospice
- Roper St Francis Hospital-Berkeley Inc
- Mount Pleasant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Hospice and Palliative Medicine | Current | Accepting new patients |
| Roper St. Francis Specialty Physicians | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Lowcountry Medical Associates | Internal Medicine | Past | Accepting new patients |
Locations
2097 Henry Tecklenburg Dr
Ste 201W
Charleston, SC 29414
Phone (843) 402-1211
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260
Interoperability endpoints
- rlake1252112@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charleston, SC
- NPI 1669613733
-
- Internal Medicine Physician
- Moncks Corner, SC
- NPI 1790735975
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Ladson, SC
- NPI 1902195563
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1487696019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR STE 201W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145739",
"telephone_number": "843-402-1211",
"fax_number": "843-606-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "22236",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "SC",
"license": "22236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222360",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID-RSFPP",
"identifier": "P00727226",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00269321",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.