DR. RICARDO J LEMA (MD) – Pediatrics Physician, NPI 1396798534

DR. RICARDO J LEMA (MD) is a healthcare provider. based in Urbana, Illinois. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 036103162 (IL). The NPI Number for DR. RICARDO J LEMA (MD) is 1396798534

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICARDO J LEMA (MD)
NPI
1396798534
Phone
Not provided
Address
611 W PARK ST
Enumeration Date
18 May 2006
Last Update Date
31 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8887122753
Graduation Year
1997 (29 years ago)
PAC ID
8123018520
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20040517001109
Address ID
IL618012501UR611XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,158 PEDIATRIC MEDICINE in IL

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Provider Addresses for DR. RICARDO J LEMA (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    FAPC

    URBANA, IL 618012500

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040517001109IPediatric MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RICARDO J LEMA (MD)?
DR. RICARDO J LEMA (MD) — NPI 1396798534 — is the standard way to identify this listing.
Can I rely on DR. RICARDO J LEMA (MD) being an active provider?
As of the registry snapshot, DR. RICARDO J LEMA (MD) is marked active.
What is DR. RICARDO J LEMA (MD)'s specialty?
The listing groups DR. RICARDO J LEMA (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RICARDO J LEMA (MD) serve?
DR. RICARDO J LEMA (MD)'s listing highlights Urbana, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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