Active NPI
Matthew Thomas Lester, M.D.
- Pulmonary Disease Physician
- Temple, TX
National Provider Identifier
1629208152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- N3140
- Practice address
- 1901 Veterans Memorial Dr.
BLDG 204, Room 2G28
Temple, TX 76504 - Phone
- (254) 743-0984
- Fax
- (254) 743-0397
- NPI assigned
- Jul 17, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N3140 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | N3140 | TX | |
| Pulmonary Disease Physician | 207RP1001X | N3140 | TX | Primary |
Addresses
Primary practice location
1901 Veterans Memorial Dr.
BLDG 204, Room 2G28
Temple, TX 76504
Mailing address
1901 Veterans Memorial Dr.
BLDG 204, Room 2G28
Temple, TX 76504
Phone (254) 743-0984
Other practice location 1
1900 Scenic Dr
Suite 2208
Georgetown, TX 78626-7724
Phone (512) 819-0132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157786-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170523001650 | TX | Order and Referring Only - Pulmonary Disease | 2860684552 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3140 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629208152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR.",
"address_2": "BLDG 204, ROOM 2G28",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76504",
"telephone_number": "254-743-0984",
"fax_number": "254-743-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR.",
"address_2": "BLDG 204, ROOM 2G28",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76504",
"telephone_number": "254-743-0984",
"fax_number": "254-743-0397"
}
],
"practiceLocations": [
{
"address_1": "1900 Scenic Dr",
"address_2": "Suite 2208",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "TX",
"postal_code": "786267724",
"country_code": "US",
"telephone_number": "512-819-0132",
"fax_number": "512-819-9335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESTER",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3140",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "N3140",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "N3140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2157786-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.