Individual provider Active NPI

Ronald D Lee, M.D.

  • Urology Physician
  • Mount Prospect, IL
National Provider Identifier
1023091667
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036073650 Issued in IL
Practice address
1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone
(847) 823-3185
Fax
(847) 823-3318
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036073650 IL Primary

Addresses

Primary practice location

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036

Mailing address

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone (847) 823-3185

Other identifiers 1

IdentifierTypeStateIssuer
036073650MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ronaldlee@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000801 IL Practitioner - Urology 9133178361

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036073650ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Mar 14, 2011 Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Mar 14, 2011 Accepting new patients

Locations

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1023091667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RONALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036073650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073650",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ronaldlee@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "900 Rand Rd",
            "address_2": "Ste 120",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600162359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.