DR. DOUGLAS R. LAKE MD NPI 1194808394

NPI Information

  • NPI: 1194808394
  • Provider Name: DR. DOUGLAS R. LAKE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1215 DUFF AVENUE
    AMES, IA
    ZIP 50010
  • Phone: (515) 239-4456

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NPI Details

DR. Douglas R. Lake, MD is a diagnostic radiology radiology in Ames, IA with 24 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of both breasts (HCPCS:77049)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Mri scan of both breasts (HCPCS:77049)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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