Individual provider Active NPI

Adam C Lake, MD

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1619261559
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD450240 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-7228
Fax
(717) 544-4149
NPI assigned
Jun 8, 2011
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD450240 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20140717000363 PA Practitioner - Family Practice 0941426571 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

554 N Duke St FL
2 Penn Medicine Lancaster General Health Ca
Lancaster, PA 17602-2225
Phone (717) 544-7279

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD450240PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Lancaster General Medical Group CurrentSince Feb 1, 2015 Accepting new patients
Union Community Care CurrentSince Sep 23, 2024 Accepting new patients
Lancaster General Hospital Family Medicine CurrentSince Aug 8, 2014 Accepting new patients
Lancaster General Hospital CurrentSince Aug 8, 2014 Accepting new patients
Lancaster General Hospital CurrentSince Aug 8, 2014 Accepting new patients
Union Community Care CurrentSince Sep 23, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 1, 2015 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Union Community Care Past Accepting new patients
Union Community Care Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

515 Hershey Ave
Lancaster, PA 17603
Phone (717) 735-7035

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

920 Church St
Lebanon, PA 17046
Phone (717) 272-2700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: adam.lake.1@14261.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1619261559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-7228",
            "fax_number": "717-544-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-7228",
            "fax_number": "717-544-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ADAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD450240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.