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JUANADRIAN BOSCO LEZAMA MORALES MD
NPI 1003604489
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 28, 2025PECOS Enrolled
1316 W FOREST HOME AVE, MILWAUKEE, WI 53204(414) 424-5000 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanadrian Bosco Lezama Morales Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANADRIAN BOSCO LEZAMA MORALES MD (NPI 1003604489) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003604489
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUANADRIAN BOSCO LEZAMA MORALESCredential: MD
Location Address1316 W FOREST HOME AVEMilwaukee, WI 53204-3227
Mailing Address1316 W Forest Home AveMilwaukee, WI 53204-3227 · (414) 424-5000
Phone(414) 424-5000
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1003604489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1316 W FOREST HOME AVE, Milwaukee, WI 53204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juanadrian Bosco Lezama Morales Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIA AUSTIN
Student in an Organized Health Care Education/Training Program
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 424-5000
ERIK I SAUCEDO PHARMD
Pharmacist
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-4554
STEPHANIE ARMSTRONG MD, MS
Student in an Organized Health Care Education/Training Program
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 777-7700
MIKE MATHIEU
Student in an Organized Health Care Education/Training Program
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 424-5000
CLAIRE M SEDUSHAK
Pharmacist
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-4554
KEVIN XUAN NGUYEN DO
Student in an Organized Health Care Education/Training Program
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 424-5000
DR. JESSICA S KHY PHARMD
Pharmacist
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-4554
DR. OGBEIYE HILARY EBUEHI MD, DO, MPH
Student in an Organized Health Care Education/Training Program
1316 W FOREST HOME AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 955-4985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanadrian Lezama Morales's NPI number?

The NPI number for Juanadrian Lezama Morales is 1003604489. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Juanadrian Lezama Morales located?

Juanadrian Lezama Morales practices at 1316 W Forest Home Ave, Milwaukee, WI 53204. The listed phone number is (414) 424-5000.

What is Juanadrian Lezama Morales's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juanadrian Lezama Morales enrolled in Medicare?

Yes. Juanadrian Lezama Morales is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juanadrian Lezama Morales was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.