Individual provider Active NPI

Samuel R Lehman, M.D.

  • Neurology Physician
  • Overland Park, KS
National Provider Identifier
1811939929
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2001012430 Issued in MO
Practice address
10550 Quivira Rd
Suite 530
Overland Park, KS 66215-2306
Phone
(913) 599-3828
Fax
(913) 599-3451
NPI assigned
Jun 12, 2006
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2001012430 MO Primary
Neurology Physician 2084N0400X 04-23984 KS

Addresses

Primary practice location

10550 Quivira Rd
Suite 530
Overland Park, KS 66215-2306

Mailing address

1000 Carondelet Dr
Provider Enrollment/Med Staff Ofc
Kansas City, MO 64114
Phone (816) 943-5744

Other practice location 1

1000 Carondelet Dr Ste 200
Kansas City, MO 64114-4673
Phone (816) 942-4500

Other practice location 2

206 NW Mock Ave Ste 200
Blue Springs, MO 64014-2530
Phone (816) 416-8633

Other identifiers 1

IdentifierTypeStateIssuer
100130410 FMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-23984KSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. PastSince Jul 1, 2021 Accepting new patients
Prime Healthcare Physician Services - Providence Inc PastSince Sep 20, 2020 Accepting new patients
The Headache & Pain Center, P. a. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1811939929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "address_2": "PROVIDER ENROLLMENT/MED STAFF OFC",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-943-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD",
            "address_2": "SUITE 530",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-599-3828",
            "fax_number": "913-599-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4500",
            "fax_number": "816-941-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 NW Mock Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142530",
            "country_code": "US",
            "telephone_number": "816-416-8633",
            "fax_number": "816-416-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2001012430",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-23984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130410 F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.