Individual provider Active NPI

Lee Walton Thompson, M.D.

  • Surgical Oncology Physician
  • Mobile, AL
National Provider Identifier
1063479905
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
24560 Issued in AL
Practice address
3 Mobile Infirmary Cir
Suite 305
Mobile, AL 36607-3520
Phone
(251) 433-5557
Fax
(251) 433-5558
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 24560 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir
Suite 305
Mobile, AL 36607-3520

Mailing address

3 Mobile Infirmary Cir
Suite 305
Mobile, AL 36607-3520
Phone (251) 433-5557

Other identifiers 3

IdentifierTypeStateIssuer
00126562OtherMSMISSISSIPPI MEDICAID
051507487OtherALBCBS OF ALABAMA
009986440MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110106000723 AL Practitioner - Surgical OncologyPractitioner - Endocrinology 1355530387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: Endocrinology
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Cancer Surgery of Mobile, LLCGroup PAC ID 1557550589, 23 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Cir
Suite 302
Mobile, AL 36607-3515
Phone (251) 433-5557

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-5557

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

Merit-based Incentive Payment System (MIPS)

Final score
95.26 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24560ALMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Surgery of Mobile, P.C. Surgical Oncology Current Accepting new patients
Imc-Cancer Surgery of Mobile, LLC Surgical Oncology CurrentSince Jan 1, 2011 Accepting new patients

Locations

3 Mobile Infirmary Cir
Ste 305
Mobile, AL 36607
Phone (251) 433-5557

Interoperability endpoints

  • Direct secure messaging: lthompson12686@directinfirmaryhealth.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1063479905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-5557",
            "fax_number": "251-433-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-5557",
            "fax_number": "251-433-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LEE",
        "middle_name": "WALTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AL",
            "license": "24560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI MEDICAID",
            "identifier": "00126562",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "051507487",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009986440",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.