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DR. KEITH M LEMMON M.D.
NPI 1700877529
Pediatrics - Adolescent Medicine in Joint Base Lewis Mcchord, WA

Active since November 01, 2005PECOS Enrolled
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-1980 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Keith M Lemmon M.d. NPPES

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

DR. KEITH M LEMMON M.D. (NPI 1700877529) is an individual adolescent medicine provider in Joint Base Lewis Mcchord, Washington, licensed in Washington (MD00048248) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700877529
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. KEITH M LEMMONCredential: M.D.
Location Address9040 JACKSON AVEJoint Base Lewis Mcchord, WA 98431-1100
Mailing Address9040 Jackson AveJoint Base Lewis Mcchord, WA 98431-1100 · (253) 968-4806
Phone(253) 968-1980
Sole ProprietorNo
Enumeration DateNovember 1, 2005
Last NPPES UpdateMarch 27, 2019
✔ NPI 1700877529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in WA · MD00048248
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 2002-00397 (NC)
9040 JACKSON AVE, Joint Base Lewis Mcchord, WA 98431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith M Lemmon M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Lemmon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
11 mi
Pediatrics
1706 S MERIDIAN STE 120
Puyallup, WA 98371
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1700396652 (253) 848-8797

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Keith Lemmon's NPI number?

The NPI number for Keith Lemmon is 1700877529. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Keith Lemmon located?

Keith Lemmon practices at 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-1980.

What is Keith Lemmon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Keith Lemmon enrolled in Medicare?

Yes. Keith Lemmon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Lemmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Lemmon reassigns Medicare benefits to Multicare Health System (Puyallup, WA). 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 Keith Lemmon'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 Keith Lemmon was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.