JASON EDWARD LAKE MD NPI 1205051430

NPI Information

  • NPI: 1205051430
  • Provider Name: JASON EDWARD LAKE, MD
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2940 E BANNER GATEWAY DR STE 200-250
    GILBERT, AZ
    ZIP 85234
  • Phone: (480) 964-2908

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NPI Details

Jason Edward Lake, MD is a foot and ankle surgery orthopaedic surgery in Gilbert, AZ with 22 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Jason Edward Lake, MD NPI is 1205051430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

2940 E BANNER GATEWAY DR STE 200-250
GILBERT, AZ
ZIP 85234-168
Phone: (480) 964-2908
Fax: (480) 833-2136

The NPI 1205051430 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Cast supplies, short leg cast, adult (11 years +), fiberglass (HCPCS:Q4038)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Application of walking cast covering below knee to toe (HCPCS:29425)
  • Injection, methylprednisolone acetate, 20 mg (HCPCS:J1020)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Correction of toe joint deformity (HCPCS:28285)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Mri scan of leg without contrast (HCPCS:73718)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of deep implant from bone (HCPCS:20680)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Lengthening of calf muscle (HCPCS:27687)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 4/14/2007 and was last updated on 3/25/2025.

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
1207X00000XOrthopaedic Surgery35. 093195OHIONo
2207X00000XOrthopaedic Surgery42724ARIZONANo
3207X00000XOrthopaedic Surgery19568MISSISSIPPINo
4207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery42724ARIZONAYes

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
13Z5372OTHERARIZONAHEALTHNET

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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