Active NPI
Kyle M Lemley, MD
- Pediatric Critical Care Medicine Physician
- Albuquerque, NM
National Provider Identifier
1700040599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD2015-0222
- Practice address
- 1 University of New Mexico
Msc10 5590
Albuquerque, NM 87131-0001 - Phone
- (505) 272-3172
- NPI assigned
- Jul 11, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35097005 | OH | |
| Pediatrics Physician | 208000000X | 2012012816 | MO | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01078297A | IN | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME129316 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD2015-0222 | NM | Primary |
Addresses
Primary practice location
1 University of New Mexico
Msc10 5590
Albuquerque, NM 87131-0001
Mailing address
1 University of New Mexico
Msc10 5590
Albuquerque, NM 87131-0001
Phone (505) 272-3172
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H013090 | Other | OH | MEDICARE |
| 0050928 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35097005 | OH | MD | Pediatrics Physician |
| ME129316 | FL | MD | Pediatric Critical Care Medicine Physician |
| MD2015-0222 | NM | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- kyle.lemley@hca3.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1619242633
-
- General Acute Care Hospital
- Rapid City, SD
- NPI 1437122009
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1700040599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO",
"address_2": "MSC10 5590",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO",
"address_2": "MSC10 5590",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMLEY",
"first_name": "KYLE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35097005",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2012012816",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01078297A",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME129316",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NM",
"license": "MD2015-0222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H013090",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050928",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.