NPIMap

Individual provider Active NPI

Shaun D Lehmann, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • The Woodlands, TX
National Provider Identifier
1306892203
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
K7182 Issued in TX
Practice address
25216 Grogans Park Dr
Suite a
The Woodlands, TX 77380-2175
Phone
(281) 357-5454
Fax
(281) 357-5499
NPI assigned
May 25, 2006
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X K7182 TX Primary

Addresses

Primary practice location

25216 Grogans Park Dr
Suite a
The Woodlands, TX 77380-2175

Mailing address

PO Box 1567
Tomball, TX 77377-1567
Phone (281) 357-5454

Other identifiers 3

IdentifierTypeStateIssuer
8H4600OtherTXBLUE CROSS BLUE SHIELD
146753202MedicaidTX
460517474OtherTXTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000108 TX Practitioner - Physical Medicine and Rehabilitation 6002891629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of North Dakota School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Spine Sports and Physical Medicine P.a.Group PAC ID 5294710810, 2 clinicians

Practice addresses (Care Compare)

25216 Grogans Park Dr
Suite a
The Woodlands, TX 77380-2175
Phone (281) 357-5454

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1855AKMDSpecialist
K7182TXMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spine Sports and Physical Medicine P.a. CurrentSince Apr 28, 2003 Accepting new patients
Alaska Neurodiagnostic and Rehabilitation Medicine, Inc Past Accepting new patients

Locations

25216 Grogans Park Dr
#A
The Woodlands, TX 77380
Phone (281) 357-5454

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1306892203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771567",
            "telephone_number": "281-357-5454",
            "fax_number": "281-357-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25216 GROGANS PARK DR",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802175",
            "telephone_number": "281-357-5454",
            "fax_number": "281-357-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMANN",
        "first_name": "SHAUN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "K7182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H4600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146753202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "460517474",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.