Individual provider Active NPI

Michael David Lesem, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1871605998
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F9730 Issued in TX
Practice address
4306 Yoakum Blvd Ste 230
Houston, TX 77006-5878
Phone
(832) 538-1479
Fax
(832) 558-4440
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60687291 WA
Psychiatry Physician 2084P0800X F9730 TX Primary

Addresses

Primary practice location

4306 Yoakum Blvd Ste 230
Houston, TX 77006-5878

Mailing address

4306 Yoakum Blvd Ste 230
Houston, TX 77006-5878
Phone (832) 538-1479

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000676 TX Practitioner - Psychiatry 6608920624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Michael Lesem MD PAGroup PAC ID 5496809329, 2 clinicians

Practice addresses (Care Compare)

4306 Yoakum Blvd
Suite 330
Houston, TX 77006-5873
Phone 83253814790

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Lesem, MD, PA Psychiatry CurrentSince Sep 21, 1990 Accepting new patients

Locations

4306 Yoakum Blvd
Ste 330
Houston, TX 77006
Phone (832) 538-1479

4306 Yoakum Blvd
Ste 230
Houston, TX 77006
Phone (832) 538-1479

Interoperability endpoints

  • Direct secure messaging: mlesem779092@wm.providencedirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1871605998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 YOAKUM BLVD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065878",
            "telephone_number": "832-538-1479",
            "fax_number": "832-487-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 YOAKUM BLVD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065878",
            "telephone_number": "832-538-1479",
            "fax_number": "832-558-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESEM",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60687291",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F9730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.