Active NPI
Tate Allen Lage, D.O.
- Pediatrics Physician
- Clear Lake, IA
National Provider Identifier
1770849333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO-04690
- Practice address
- 401 S 15TH St
Clear Lake, IA 50428-2303 - Phone
- (641) 357-7442
- Fax
- (641) 357-3070
- NPI assigned
- Apr 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO-04690 | IA | Primary |
Addresses
Primary practice location
401 S 15TH St
Clear Lake, IA 50428-2303
Mailing address
401 S 15TH St
Clear Lake, IA 50428-2303
Phone (641) 357-7442
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlage3949936@direct.trinity-health.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
401 S 15th St
Clear Lake, IA 50428
Phone (641) 357-3393
Interoperability endpoints
- tlage3949936@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
- Pediatric Adolescent Medicine Physician
- Clear Lake, IA
- NPI 1093720708
-
- Sports Medicine (Family Medicine) Physician
- Mason City, IA
- NPI 1982300349
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Internal Medicine Physician
- Mason City, IA
- NPI 1609806371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1770849333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 15TH ST",
"city": "CLEAR LAKE",
"state": "IA",
"postal_code": "504282303",
"telephone_number": "641-357-7442",
"fax_number": "641-357-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S 15TH ST",
"city": "CLEAR LAKE",
"state": "IA",
"postal_code": "504282303",
"telephone_number": "641-357-7442",
"fax_number": "641-357-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGE",
"first_name": "TATE",
"middle_name": "ALLEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "DO-04690",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlage3949936@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "MercyOne North Iowa Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "401 S 15th St",
"city": "Clear Lake",
"state": "IA",
"country_code": "US",
"postal_code": "504282303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clear Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.