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DR. DOUGLAS R. LAKE MD NPI 1194808394


NPI Information

NPI: 1194808394
Provider Name: DR. DOUGLAS R. LAKE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1215 DUFF AVENUE
AMES, IA
ZIP 50010
Phone: (515) 239-4456
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DR. Douglas R. Lake, MD is a diagnostic radiology radiology in Ames, IA with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Douglas R. Lake, MD NPI is 1194808394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2002

The provider's business location address is:

1215 DUFF AVENUE
AMES, IA
ZIP 50010-014
Phone: (515) 239-4456
Fax: (515) 239-4761

The NPI 1194808394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mammography of both breasts (HCPCS:77067)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan chest (HCPCS:71250)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Ct scan of face (HCPCS:70486)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 10/23/2006 and was last updated on 11/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyA99351CALIFORNIANo
22085R0202XRadiologyDiagnostic Radiology24188NEBRASKANo
32085R0202XRadiologyDiagnostic Radiology23902SOUTH CAROLINANo
42085R0202XRadiologyDiagnostic Radiology37861IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025173600MEDICAIDNEBRASKA
210025248800MEDICAIDNEBRASKA
3200145166OTHERIOWAWELLMARK SELECT FIRST
47729430MEDICAIDSOUTH DAKOTA
501626OTHERBC/BS NE
6P00619099OTHERNEBRASKARR MEDICARE
7201477608OTHERIOWAWELLMARK SELECT FIRST
834783OTHERBC/BS NE
969958751MEDICAIDCOLORADO
10P00619095OTHERIOWARR MEDICARE
1110025186700MEDICAIDNEBRASKA
121194808394MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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