Active NPI
Noel E. Lezama, MD
- General Practice Physician
- Hialeah Gardens, FL
National Provider Identifier
1275693137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 90883
- Practice address
- 8074 NW 103Rd St
Suite 20
Hialeah Gardens, FL 33016 - Phone
- (305) 826-4307
- Fax
- (305) 826-6790
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 90883 | FL | Primary |
Addresses
Primary practice location
8074 NW 103Rd St
Suite 20
Hialeah Gardens, FL 33016
Mailing address
8074 NW 103Rd St Ste 20
Hialeah Gardens, FL 33016-2256
Phone (305) 826-4307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004484000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90883 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Care Center, L.L.C. | Past | Accepting new patients | |
| American Family Health Center,Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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- General Practice Physician
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- NPI 1972871937
-
- General Practice Physician
- Hialeah, FL
- NPI 1982971867
-
- Internal Medicine Physician
- Miami, FL
- NPI 1306182712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1275693137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8074 NW 103RD ST STE 20",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330162256",
"telephone_number": "305-826-4307",
"fax_number": "305-826-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 NW 103RD ST",
"address_2": "SUITE 20",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "33016",
"telephone_number": "305-826-4307",
"fax_number": "305-826-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZAMA",
"first_name": "NOEL",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "90883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004484000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.