Individual provider Active NPI

Peter M. Lemis, MD

  • Cardiovascular Disease Physician
  • Frisco, CO
National Provider Identifier
1962400341
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DR.0049206 Issued in CO
Practice address
360 Peak One Dr
Suite 390
Frisco, CO 80443
Phone
(970) 668-9772
Fax
(970) 668-9774
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD043013E PA
Cardiovascular Disease Physician 207RC0000X DR.0049206 CO Primary

Addresses

Primary practice location

360 Peak One Dr
Suite 390
Frisco, CO 80443

Mailing address

360 Peak One Dr
Suite 390
Frisco, CO 80443
Phone (970) 668-9772

Other identifiers 1

IdentifierTypeStateIssuer
1144883MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150429000857 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779478367 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0049206COMDCardiovascular Disease Physician
MD043013EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District CurrentSince Nov 1, 2021 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Nov 1, 2021 Accepting new patients
Shadyside Cardiology Rotation PC Past Accepting new patients

Locations

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1962400341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR",
            "address_2": "SUITE 390",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-668-9772",
            "fax_number": "970-668-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR",
            "address_2": "SUITE 390",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-668-9772",
            "fax_number": "970-668-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIS",
        "first_name": "PETER",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD043013E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0049206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.