Jeffrey Dale Lawhead, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G146704 Issued in CA

Practice address

41120 Washington St Ste 201
Bermuda Dunes, CA 92203-9596

Phone

(760) 360-3193

Fax

(760) 360-3194

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jeffrey.lawhead.p2@direct.mydohc.nextgenshare.com
• Direct secure messaging: jeffrey.lawhead.p5@direct.mydohc.nextgenshare.com

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.

• Desert Medical Group, Inc.

  dba Desert Oasis Healthcare Medical Group

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment Care Compare group
• Omega Health Care of Northeast Georgia Inc

  • Community Based Hospice Care Agency
  • Cartersville, GA
  • NPI 1235361544
  NPD (past)
• Providence Care Inc

  • Family Medicine Physician
  • Kansas City, KS
  • NPI 1477860112
  NPD (past)
• Saint John Hospital, Inc

  • General Acute Care Hospital
  • Leavenworth, KS
  • NPI 1295735397
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1679576706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST STE 201",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039596",
            "telephone_number": "760-360-3193",
            "fax_number": "760-360-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST STE 201",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039596",
            "telephone_number": "760-360-3193",
            "fax_number": "760-360-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHEAD",
        "first_name": "JEFFREY",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-21047",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9E18",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G146704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BLUE CROSS",
            "identifier": "100545",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "13829031",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parvinder Judge
• Robert Keenan, MD
• Donald Bon Kim, PHARMD
• Linda King
• Biljana Kostic, M.D.
• Peihua Lee, DPT
• Crystal Lestari, PHARMD
• Alexei Lyapustin, PT, DPT
• Joseph Bautista Manalo, PT
• Fred H Mann, RPH

• Family Medicine Physician in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.