Individual provider Active NPI

James Paul Lee, MD

  • Pediatrics Physician
  • New Market, MD
National Provider Identifier
1043214810
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0033531 Issued in MD
Practice address
11717 Old National Pike
#8
New Market, MD 21774
Phone
(301) 363-4663
Fax
(301) 829-5820
NPI assigned
Jun 9, 2005
Last updated
Dec 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0033531 MD
Pediatrics Physician 208000000X D0033531 MD Primary

Addresses

Primary practice location

11717 Old National Pike
#8
New Market, MD 21774

Mailing address

11717 Old National Pike
#8
New Market, MD 21774
Phone (301) 363-4663

Other identifiers 1

IdentifierTypeStateIssuer
402541500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150226000135 MD Practitioner - Pediatric Medicine 0840516472 Reassigns benefits to 1 organization
I20150311001087 DC Practitioner - Pediatric Medicine 0840516472 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0033531MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics CurrentSince Jan 21, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 21, 2015 Accepting new patients
White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. Pediatrics Past Accepting new patients
White Oak Pediatrics DRS Battiata & Impeduglia PA Pediatrics Past Accepting new patients
White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. Pediatrics Past Accepting new patients
White Oak Pediatrics DRS Battiata & Impeduglia PA Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11717 Old National Pike
Ste 8
New Market, MD 21774
Phone (301) 381-4586

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13814/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1043214810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 OLD NATIONAL PIKE",
            "address_2": "#8",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "21774",
            "telephone_number": "301-363-4663",
            "fax_number": "301-829-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 OLD NATIONAL PIKE",
            "address_2": "#8",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "21774",
            "telephone_number": "301-363-4663",
            "fax_number": "301-829-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0033531",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0033531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402541500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.