NPIMap

Organization Active NPI

Albert C. Lee, M.D., P.C.

Doing business as Indiana Neurology Specialty Care

  • Neurology Physician
  • Lafayette, IN
National Provider Identifier
1013047042
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01042481A Issued in IN
Legal business name
ALBERT C. LEE, M.D., P.C.
Doing business as
Indiana Neurology Specialty Care
Practice address
3731 Rome Dr
Suite a
Lafayette, IN 47905-4490
Phone
(765) 448-3040
Fax
(765) 447-0151
NPI assigned
Mar 7, 2007
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Albert C Lee, M.D.NPI 1790815322
Title
President/Owner
Phone
(765) 448-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01042481A IN Primary

Addresses

Primary practice location

3731 Rome Dr
Suite a
Lafayette, IN 47905-4490

Mailing address

PO Box 4577
Lafayette, IN 47903-4577
Phone (765) 448-3040

Other identifiers 1

IdentifierTypeStateIssuer
200239140MedicaidIN

Other names 1

  • Indiana Neurology Specialty Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000005 IN Part B Supplier - Clinic/Group Practice 4284525023 Receives reassigned benefits from 3 practitioners
Practice locations: Winamac, IN; Lafayette, IN; Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

777 Broadway St
Ste C
Anderson, IN 46012
Phone (765) 649-8118

1351 S Jackson St
Frankfort, IN 46041
Phone (765) 452-8602

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

3630 Guion Rd
Ste A
Indianapolis, IN 46222

8902 N Meridian St
Ste 139
Indianapolis, IN 46260
Phone (317) 566-1600

9002 N Meridian St
Ste 108
Indianapolis, IN 46260
Phone (317) 566-1600

3731 Rome Dr
#A
Lafayette, IN 47905

1101 Michigan Ave
Ste 30
Logansport, IN 46947
Phone (574) 753-7541

100 S Main St
Monticello, IN 47960
Phone (317) 834-3102

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1013047042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034577",
            "telephone_number": "765-448-3040",
            "fax_number": "765-447-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 ROME DR",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054490",
            "telephone_number": "765-448-3040",
            "fax_number": "765-447-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT C. LEE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "765-448-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01042481A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200239140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Neurology Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.