DR. SOPHIA MENSIMA LEMAIRE MD
NPI 1164089249
Hospitalist in Burlington, MA

Q: 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.

Q: What is Sophia Lemaire's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: 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 21 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.

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment

41 BURLINGTON MALL ROAD, BURLINGTON, MA 01805(781) 744-5100 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Jun 29, 2021, May 23, 2019 (3 updates tracked since 2019).

On this page

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

NPI1164089249

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. SOPHIA MENSIMA LEMAIRECredential: MD

Location Address41 BURLINGTON MALL ROADBurlington, MA 01805-0001

Mailing Address41 Burlington Mall RoadBurlington, MA 01805-0001 · (781) 744-5100

Phone(781) 744-5100

Sole ProprietorYes

Medical School CMSHoward University College Of MedicineGraduated 2019

Enumeration DateMay 23, 2019

Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1164089249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MA · 1020976

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 289203 (MA)

Also ListedSurgeryTaxonomy 208600000X · License LP04560 (RI)

41 BURLINGTON MALL ROAD, Burlington, MA 01805

Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-5180

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1658604525

PECOS Enrollment IDI20241119002079

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services16 patients

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, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician 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.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ARIEL THETYS WAMPLER MD

Student in an Organized Health Care Education/Training Program