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Lake Regional Health System

Internal Medicine Physician in Osage Beach, MO · enumerated 2014 · authorized official Kevin Mcroberts, Ceo.

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

National Provider Identifier

1962828616

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Regional Health System
Practice address 54 Hospital Dr, Osage Beach, MO, 65065
Enumeration date Mar 5, 2014
Last updated in NPPES Oct 13, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary
207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Kevin Mcroberts
Title Ceo

Other identifiers

Identifier Type State Issuer
010671600 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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Regional Health System?
Lake Regional Health System is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-13.