Individual provider Active NPI

Kameryn Janelle Lee, MD

  • Obstetrics & Gynecology Physician
  • Ocean City, MD
National Provider Identifier
1023270600
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C1-0012607 Issued in DE
Practice address
12308 Ocean Gtwy Ste 8
Ocean City, MD 21842-9341
Phone
(443) 728-1050
Fax
(443) 728-1051
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D0069570 MD
Obstetrics & Gynecology Physician 207V00000X C1-0012607 DE Primary

Addresses

Primary practice location

12308 Ocean Gtwy Ste 8
Ocean City, MD 21842-9341

Mailing address

3204 Points Reach
Ocean Pines, MD 21811-4210
Phone (443) 924-0596

Other identifiers 3

IdentifierTypeStateIssuer
084823500MedicaidDC
416790200MedicaidMD
1023270600MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190912002177 DE Practitioner - Obstetrics/Gynecology 1557419199 Reassigns benefits to 1 organization
I20241101000478 NC Practitioner - Obstetrics/Gynecology 1557419199 Reassigns benefits to 1 organization
I20241125000392 VA Practitioner - Obstetrics/Gynecology 1557419199 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012607DEMDObstetrics & Gynecology Physician
D0069570MDMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jul 14, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: kameryn.lee@217526021193732.direct.elationemr.com

Organizations & group practices 5

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1023270600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 POINTS REACH",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218114210",
            "telephone_number": "443-924-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 OCEAN GTWY STE 8",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429341",
            "telephone_number": "443-728-1050",
            "fax_number": "443-728-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAMERYN",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0069570",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0012607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084823500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416790200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023270600",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

Verify at the official NPI Registry.