Individual provider Active NPI

Randall Richard Lemke II, P. A.

  • Physician Assistant
  • Silver City, NM
National Provider Identifier
1841366960
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2006-0052 Issued in NM
Practice address
1268 E 32ND St
Silver City, NM 88061-7229
Phone
(575) 534-1919
Fax
(575) 534-0135
NPI assigned
Nov 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2006-0052 NM Primary

Addresses

Primary practice location

1268 E 32ND St
Silver City, NM 88061-7229

Mailing address

1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919

Other identifiers 1

IdentifierTypeStateIssuer
83525823MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000332 NM Practitioner - Physician Assistant 3476655044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New Mexico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Bone and Joint Institute, PCGroup PAC ID 5890717508, 8 clinicians

Practice addresses (Care Compare)

1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.63 of 100Reported as individual
Quality
54.35
Improvement activities
40
Cost
66.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2006-0052NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Bone and Joint Institute PC CurrentSince Nov 3, 2006 Accepting new patients
Southwest Bone and Joint Institute PC Physician Assistant CurrentSince Nov 3, 2006 Accepting new patients

Locations

1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841366960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-1919",
            "fax_number": "575-534-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-1919",
            "fax_number": "575-534-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "RANDALL",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2006-0052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83525823",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.