Active NPI
Peter Michael Lehmann, MD
- Family Medicine Physician
- Poulsbo, WA
National Provider Identifier
1407899362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00033623
- Practice address
- 19245 7TH Ave NE
Poulsbo, WA 98370-7504 - Phone
- (360) 782-3500
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00033623 | WA | Primary |
Addresses
Primary practice location
19245 7TH Ave NE
Poulsbo, WA 98370-7504
Mailing address
2512 Wheaton Way
Bremerton, WA 98310-3399
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107656 | Other | WA | LABOR & INDUSTRIES |
| 8191686 | Medicaid | WA | |
| LE8647 | Other | REGENCE BLUE SHIELD | |
| 080083344 | Other | RAILROAD MEDICARE | |
| 5727141 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vintage Direct Primary Care | Family Medicine | Current | Accepting new patients |
| Vintage Direct Primary Care | Family Medicine | Current | Accepting new patients |
Locations
19319 7th Ave NE
Ste 114
Poulsbo, WA 98370
Phone (360) 697-2228
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.
-
- Family Medicine Physician
- Poulsbo, WA
- NPI 1023530573
-
- Family Medicine Physician
- Kingston, WA
- NPI 1912423468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407899362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19245 7TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707504",
"telephone_number": "360-782-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHMANN",
"first_name": "PETER",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00033623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "107656",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8191686",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "LE8647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080083344",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5727141",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.