Nam Lee

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101058452 Issued in VA

Practice address

1 Oak Grove Ave
132
Melrose, MA 02176-6121

Phone

(781) 620-1810

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pratt Radiology Associates, Inc

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1154361780
  Medicare reassignment NPD
• TMC Radiology Cra LLC

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1851046726
  Medicare reassignment NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1043348683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAK GROVE AVE",
            "address_2": "132",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766121",
            "telephone_number": "781-620-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAK GROVE AVE",
            "address_2": "132",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766121",
            "telephone_number": "781-620-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101058452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Learn to Smile PLLC
• Steven Leavitt, LMT
• Jessica Lebowitz, PA-C
• Grace Ying-Shuan Lee, M.D.
• Lily C Lee, DMD
• Yujin Lee, DMD
• Amy Ann Lemieux, PHARM D
• Clara A Lennox, MD
• Ariel Leroy, M.D.
• Frederick Thomas Leung, OD

• Diagnostic Radiology Physician in Melrose, MA
• Providers in Melrose, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.