Active NPI
Lakeview Healthcare System, LLC
Doing business as Lakeview Internal Medicine, PA
- Internal Medicine Physician
- Summerfield, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khai Sheng Chang, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265426100 | Medicaid | FL |
Other names 1
- Lakeview Internal Medicine, PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0988507 | Lakeview Internal Medicine | Accreditation | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Mount Dora, FL
- NPI 1881665222
-
- Rheumatology Physician
- Summerfield, FL
- NPI 1508008228
-
- Medical Physician Assistant
- Leesburg, FL
- NPI 1568171676
-
- Nurse Practitioner
- Kissimmee, FL
- NPI 1033824198
-
- Family Nurse Practitioner
- Mount Dora, FL
- NPI 1740989078
-
- Internal Medicine Physician
- Summerfield, FL
- NPI 1053358382
-
- Internal Medicine Physician
- Mount Dora, FL
- NPI 1851592802
-
- Internal Medicine Physician
- Mount Dora, FL
- NPI 1629279344
-
- Family Nurse Practitioner
- Leesburg, FL
- NPI 1346845039
-
- Internal Medicine Physician
- Summerfield, FL
- NPI 1922079508
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1740489707
-
- Cardiovascular Disease Physician
- Summerfield, FL
- NPI 1154355766
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.