DR. RICARDO J LEMA MD
NPI 1396798534
Pediatrics in Urbana, IL
About Dr. Ricardo J Lema Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICARDO J LEMA MD (NPI 1396798534) is an individual pediatrics provider in Urbana, Illinois, licensed in Illinois (036103162) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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. Ricardo J Lema 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 Reassignments
2Medicare enrollment records show Ricardo Lema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Hoopeston, IL 60942
- Reassigned Medicare billing, Illinois enrollment
- 488 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61801 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.
URBANA, IL 61801
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 Ricardo Lema's NPI number?
The NPI number for Ricardo Lema is 1396798534. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Ricardo Lema located?
Ricardo Lema practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3088.
What is Ricardo Lema's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ricardo Lema enrolled in Medicare?
Yes. Ricardo Lema 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 organizations bill Medicare for Ricardo Lema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Lema reassigns Medicare benefits to 2 organizations: Carle Health Medical Group (Urbana, IL) and Hoopeston Community Memorial Hospital (Hoopeston, IL). Each 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 Ricardo Lema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ricardo Lema was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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. Ricardo J Lema, MD · NPI 1396798534
Pediatrics physician in Urbana, Illinois. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1396798534 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036103162 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 W PARK ST, Urbana, IL 61801-2500
- **Phone:** (217) 383-3088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Hoopeston Community Memorial Hospital (NPI 1578504544, Hoopeston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1997
## Record status
- **NPPES last updated:** August 31, 2020
- **Other identifiers:** Medicaid 036103162 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1396798534) · Data from the CMS NPPES public registry.