Active NPI
Benjamin Lee, D.O.
- Cardiovascular Disease Physician
- Stayton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- DO187114
- Practice address
- 1401 N 10TH Ave Ste 200
Stayton, OR 97383-1487 - Phone
- (503) 769-9118
- NPI assigned
- Aug 27, 2013
- Last updated
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | DO187114 | OR | Primary |
Addresses
Primary practice location
1401 N 10TH Ave Ste 200
Stayton, OR 97383-1487
Mailing address
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1371 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-3785
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO187114 | OR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients |
Locations
1371 N 10th Ave
Stayton, OR 97383
Phone (503) 769-1605
1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546
1401 N 10th Ave
Ste 200
Stayton, OR 97383
Phone (503) 769-7151
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Interoperability endpoints
- blee@santiam.securechart.com
Organizations & group practices 4
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.
-
dba Santiam Women's Clinic
- Medical Specialty Clinic/Center
- Stayton, OR
- NPI 1063731271
-
dba Santiam Health & Wellness Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stayton, OR
- NPI 1801787171
-
dba Santiam Cardiology Clinic
- Medical Specialty Clinic/Center
- Stayton, OR
- NPI 1154814390
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1053745943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332414",
"telephone_number": "323-268-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N 10TH AVE STE 200",
"city": "STAYTON",
"state": "OR",
"postal_code": "973831487",
"telephone_number": "503-769-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "DO187114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stayton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.