Organization Active NPI

Michael D Lesem, MD, PA

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1417184474
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MICHAEL D LESEM, MD, PA
Practice address
4306 Yoakum Blvd Ste 230
Houston, TX 77006-5878
Phone
(832) 538-1479
Fax
(832) 487-9566
NPI assigned
Jun 17, 2009
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Dr. Michael David Lesem, MDNPI 1871605998
Title
Owner
Phone
(832) 538-1479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4306 Yoakum Blvd Ste 230
Houston, TX 77006-5878

Mailing address

4306 Yoakum Blvd Ste 230
Houston, TX 77006-5878
Phone (832) 538-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000257 TX Part B Supplier - Clinic/Group Practice 5496809329 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1010 Waverly St
Houston, TX 77008
Phone (713) 965-7900

4306 Yoakum Blvd
Ste 230
Houston, TX 77006
Phone (832) 538-1479

4306 Yoakum Blvd
Ste 330
Houston, TX 77006
Phone (832) 538-1479

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1417184474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 YOAKUM BLVD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065878",
            "telephone_number": "832-538-1479",
            "fax_number": "832-487-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 YOAKUM BLVD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065878",
            "telephone_number": "832-538-1479",
            "fax_number": "832-487-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D LESEM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "LESEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-538-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.