DR. SOPHIA MENSIMA LEMAIRE MD
NPI 1164089249
Hospitalist in Burlington, MA
About Dr. Sophia Mensima Lemaire Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOPHIA MENSIMA LEMAIRE MD (NPI 1164089249) is an individual hospitalist provider in Burlington, Massachusetts, licensed in Massachusetts (1020976) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sophia Mensima Lemaire Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sophia Lemaire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lahey Hospital & Medical Center, Burlington
Acute Care Hospitals · Burlington, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
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 Sophia Lemaire's NPI number?
The NPI number for Sophia Lemaire is 1164089249. It was assigned to this individual provider in the NPPES registry on May 23, 2019.
Where is Sophia Lemaire located?
Sophia Lemaire practices at 41 Burlington Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-5100.
What is Sophia Lemaire's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Sophia Lemaire enrolled in Medicare?
Yes. Sophia Lemaire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sophia Lemaire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Lemaire reassigns Medicare benefits to Lahey Clinic, Inc. (Burlington, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Lemaire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Lemaire accept?
Health plans from Taro Health list Sophia Lemaire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sophia Lemaire affiliated with any hospitals?
According to CMS data, Sophia Lemaire is affiliated with Lahey Hospital & Medical Center, Burlington.
When was this NPI record last updated?
The NPPES record for Sophia Lemaire was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Sophia Mensima Lemaire, MD · NPI 1164089249
Hospitalist physician in Burlington, Massachusetts. Individual provider, active in the CMS NPPES registry since May 23, 2019.
## Identity
- **NPI:** 1164089249 (Entity type: Individual)
- **Enumerated:** May 23, 2019
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 1020976 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 41 BURLINGTON MALL ROAD, Burlington, MA 01805-0001
- **Phone:** (781) 744-5100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** November 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164089249) · Data from the CMS NPPES public registry.