Individual provider Active NPI

Kimberly Ann Lehman, D.O.

  • Dermatology Physician
  • Clarksville, TN
National Provider Identifier
1932320397
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2335 Issued in TN
Practice address
290 Clear Sky CT
Clarksville, TN 37043-8948
Phone
(931) 444-5041
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 02003178A IN
Dermatology Physician 207N00000X 2335 TN Primary

Addresses

Primary practice location

290 Clear Sky CT
Clarksville, TN 37043-8948

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (630) 519-6543

Other practice location 1

781 Weatherly Dr
Suite C
Clarksville, TN 37043-8953
Phone (931) 444-5040

Other names 1

  • Dr. Kimberly Ann Kazinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120725000791 TN Practitioner - Dermatology 1557527108 Reassigns benefits to 2 organizations
Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

24 White Bridge Pike
Nashville, TN 37205-1411
Phone (615) 991-8801

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2164
Removal or shaving of skin growth1-10
Skin biopsy455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003178AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Jun 1, 2020 Accepting new patients
Cumberland Skin Surgery and Dermatology CurrentSince Apr 19, 2023 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

5141 Virginia Way
Ste 350
Brentwood, TN 37027

781 Weatherly Dr
Apt C
Clarksville, TN 37043
Phone (931) 444-5040

290 Clear Sky Ct
Clarksville, TN 37043
Phone (270) 886-2050

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

1670 W Main St
Ste 140
Lebanon, TN 37087
Phone (615) 453-9492

1014 McArthur St
Manchester, TN 37355

1725 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129

24 White Bridge Pike
Nashville, TN 37205
Phone (615) 352-0011

5073 Main St
Ste 140
Spring Hill, TN 37174
Phone (615) 861-4444

Interoperability endpoints

  • Direct secure messaging: kimberly.lehman@qdp.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1932320397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "630-519-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLEAR SKY CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438948",
            "telephone_number": "931-444-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 Weatherly Dr",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438953",
            "country_code": "US",
            "telephone_number": "931-444-5040",
            "fax_number": "931-444-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "02003178A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KAZINSKI",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.