Active NPI
Prescott P Lee, MD
- Infectious Disease Physician
- Peabody, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 231263
- Practice address
- 100 Brooksby Village Dr
Peabody, MA 01960-1438 - Phone
- (978) 536-7850
- Fax
- (978) 536-7051
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 231263 | NY | Primary |
Addresses
Primary practice location
100 Brooksby Village Dr
Peabody, MA 01960-1438
Mailing address
701 Maiden Choice LN
Baltimore, MD 21228-5968
Phone (410) 402-2257
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083615462 | Other | BCBS | |
| 0430282 | Other | EVERCARE | |
| 110084444A | Medicaid | MA | |
| 522239464 | Other | TRICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
15 Tufts St
Charlestown, MA 02129-2711
Phone (857) 238-1100
332 Hanover Sreet
Boston, MA 02113-1901
332 Hanover St
Boston, MA 02113-1901
Phone (617) 643-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231263 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North End Community Health Committee Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Infectious Disease | Past | Accepting new patients |
Locations
332 Hanover St
Boston, MA 02113
Phone (617) 643-8000
55 Fruit St
Boston, MA 02114
Interoperability endpoints
- lee.prescott.mgh@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
dba North End Community Health Center
- Public Health & General Preventive Medicine Physician
- Boston, MA
- NPI 1780606608
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba ETSU Physicians and Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Infectious Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1083615462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MAIDEN CHOICE LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212285968",
"telephone_number": "410-402-2257",
"fax_number": "410-402-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BROOKSBY VILLAGE DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601438",
"telephone_number": "978-536-7850",
"fax_number": "978-536-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PRESCOTT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "231263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1083615462",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0430282",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110084444A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "522239464",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.