Active NPI
Trent I Lengl, PA-C
- Physician Assistant
- Spokane, WA
National Provider Identifier
1144374232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004284
- Practice address
- 820 S McClellan St
Suite 426
Spokane, WA 99204-2457 - Phone
- (509) 456-8444
- Fax
- (509) 455-9227
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004284 | WA | Primary |
Addresses
Primary practice location
820 S McClellan St
Suite 426
Spokane, WA 99204-2457
Mailing address
5503 N Timber Rim Dr
Spokane Valley, WA 99212-1668
Phone (509) 921-6804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030170 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326003523 | OH | Practitioner - Physician Assistant | 5092791566 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
770 Balgreen Dr
Suite 201
Mansfield, OH 44906-4106
Phone (419) 756-1600
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Promoting interoperability
- 91
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen William Doggett, M.D. PA | Past | Accepting new patients |
Interoperability endpoints
- trent.lengl@qdp.emadirect.md
- tlengl@directaddress.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Procedural Dermatology Physician
- Mansfield, OH
- NPI 1073528733
OH
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1427281666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1144374232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 N TIMBER RIM DR",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992121668",
"telephone_number": "509-921-6804",
"fax_number": "509-455-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S MCCLELLAN ST",
"address_2": "SUITE 426",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042457",
"telephone_number": "509-456-8444",
"fax_number": "509-455-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENGL",
"first_name": "TRENT",
"middle_name": "I",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030170",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.