Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Regional Medical Management, Inc.

Multi-Specialty Clinic/Center in Osage Beach, MO · enumerated 2006 · authorized official Kevin Mcroberts, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639134158

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Regional Medical Management, Inc.

Other name <Unavail>

Practice address 54 Hospital Dr, Osage Beach, MO, 65065

Phone (573) 348-8074

Fax (573) 348-8069

Enumeration date Apr 18, 2006

Last updated in NPPES Nov 4, 2024

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kevin Mcroberts

Title Ceo

Phone (573) 348-8756

Other identifiers

Identifier	Type	State	Issuer
501945604	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Lake Regional Medical Management, Inc. located?

The practice location on file with NPPES is in Osage Beach, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-11-04. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-04.