IndividualActive
Nicholas Lezama, MD
NPI 1619958170 · Aerospace Medicine Physician · O Fallon, IL
Nicholas Lezama, MD is a Aerospace Medicine Physician provider in O Fallon, IL (NPI 1619958170).
Provider details
- NPI number
- 1619958170
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 77082 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 Thornbury Pl
O Fallon, IL 62269-6811
Phone: (618) 229-5220
Street-level locationGet directions
Mailing address
901 Thornbury Pl
O Fallon, IL 62269-6811
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2009-03-20
Frequently asked questions
- What is Nicholas Lezama's NPI number?
- Nicholas Lezama's National Provider Identifier (NPI) is 1619958170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Lezama's specialty?
- Nicholas Lezama is listed in the NPPES registry with a primary specialty of Aerospace Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Lezama located?
- Nicholas Lezama's practice location on file with NPPES is 901 Thornbury Pl, O Fallon, IL 62269-6811.
- What is Nicholas Lezama's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Lezama is (618) 229-5220.
- Is Nicholas Lezama's NPI active?
- Yes — Nicholas Lezama's NPI (1619958170) is active in the NPPES registry as of the last update on 2009-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.