Organization Active NPI

Lakeview Healthcare System, LLC

Doing business as Lakeview Internal Medicine, PA

  • Internal Medicine Physician
  • Summerfield, FL
National Provider Identifier
1841484979
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAKEVIEW HEALTHCARE SYSTEM, LLC
Doing business as
Lakeview Internal Medicine, PA
Practice address
10250 SE 167TH Place Road
Suite 5
Summerfield, FL 34491-8632
Phone
(352) 307-9925
Fax
(352) 385-0033
NPI assigned
Aug 31, 2007
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Khai Sheng Chang, M.D.NPI 1881665222
Title
President
Phone
(352) 735-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10250 SE 167TH Place Road
Suite 5
Summerfield, FL 34491-8632

Mailing address

10250 SE 167TH Place Rd Unit 5
Summerfield, FL 34491-8682
Phone (352) 307-9925

Other practice location 1

910 Old Camp Rd Ste 200
The Villages, FL 32162-5605
Phone (352) 775-4868

Other practice location 2

18550 US Highway 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Other practice location 3

1950 Laurel Manor Dr Ste 150
The Villages, FL 32162-5602
Phone (352) 633-5282

Other practice location 4

4685 N Highway 19A
Mount Dora, FL 32757-2039
Phone (352) 589-5900

Other practice location 5

1801 US Highway 441 Bldg 100
Leesburg, FL 34748-2545
Phone (352) 460-4004

Other practice location 6

410 Fern Drive
Leesburg, FL 34748
Phone (352) 218-8200

Other practice location 7

8640 E County Road 466 Ste A
The Villages, FL 32162-5616
Phone (352) 600-5613

Other identifiers 1

IdentifierTypeStateIssuer
265426100MedicaidFL

Other names 1

  • Lakeview Internal Medicine, PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000184 FL Part B Supplier - Clinic/Group Practice 8921074733 Receives reassigned benefits from 35 practitioners
Practice locations: The Villages, FL; Leesburg, FL; Mount Dora, FL; Summerfield, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0988507Lakeview Internal Medicine10250 SE 167TH Place Rd Ste 5, Summerfield, FL 34491AccreditationMar 12, 2027

National Provider Directory

National Provider Directory

Locations

910 Old Camp Rd
Bldg 200202
The Villages, FL 32162

910 Old Camp Rd
Ste 200
The Villages, FL 32162
Phone (352) 612-1971

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1841484979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-385-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE ROAD",
            "address_2": "SUITE 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918632",
            "telephone_number": "352-307-9925",
            "fax_number": "352-385-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Old Camp Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625605",
            "country_code": "US",
            "telephone_number": "352-775-4868",
            "fax_number": "352-775-4867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18550 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576751",
            "country_code": "US",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Laurel Manor Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625602",
            "country_code": "US",
            "telephone_number": "352-633-5282",
            "fax_number": "352-633-5284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4685 N Highway 19A",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327572039",
            "country_code": "US",
            "telephone_number": "352-589-5900",
            "fax_number": "352-589-5904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 US Highway 441 Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347482545",
            "country_code": "US",
            "telephone_number": "352-460-4004",
            "fax_number": "352-460-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Fern Drive",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "34748",
            "country_code": "US",
            "telephone_number": "352-218-8200",
            "fax_number": "352-435-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8640 E County Road 466 Ste A",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625616",
            "country_code": "US",
            "telephone_number": "352-600-5613",
            "fax_number": "352-633-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKEVIEW HEALTHCARE SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KHAI",
        "authorized_official_middle_name": "SHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-735-3755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265426100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Internal Medicine, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeview Internal Medicine, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.