Individual provider Active NPI

Jeffrey Rayne Lesueur, M.D.

  • Otolaryngology Physician
  • Lakeside, AZ
National Provider Identifier
1336366335
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
45950 Issued in AZ
Practice address
5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739
Phone
(928) 532-0072
Fax
(928) 532-0078
NPI assigned
Apr 19, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 45950 AZ Primary

Addresses

Primary practice location

5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739

Mailing address

5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739
Phone (928) 532-0072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120829000678 AZ Practitioner - Otolaryngology 5799932547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5448 Hwy 260
Suite 140
Lakeside, AZ 85929-5750

5448 Hwy 260 140
Lakeside, AZ 85929-5750
Phone (928) 532-0072

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45950AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey R Lesueur MD PC Otolaryngology CurrentSince Jun 19, 2012 Accepting new patients
Kent Walter Cox MD PS Otolaryngology Past Accepting new patients
Summit Healthcare Association PastSince Jun 1, 2018 Accepting new patients

Locations

5448 Highway 260
Ste 140
Lakeside, AZ 85929
Phone (928) 532-0072

Organizations & group practices 3

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 4

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1336366335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 HIGHWAY 260",
            "address_2": "SUITE 140",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295739",
            "telephone_number": "928-532-0072",
            "fax_number": "928-532-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 HIGHWAY 260",
            "address_2": "SUITE 140",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295739",
            "telephone_number": "928-532-0072",
            "fax_number": "928-532-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESUEUR",
        "first_name": "JEFFREY",
        "middle_name": "RAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "45950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

Verify at the official NPI Registry.