Active NPI
Randall A Lee, M.D.
- Internal Medicine Physician
- Trafalgar, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01026289
- Practice address
- 14 Trafalgar SQ
Trafalgar, IN 46181-9515 - Phone
- (317) 739-4895
- Fax
- (812) 526-4900
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Trafalgar, IN
- NPI 1568404226
IN
-
- Federally Qualified Health Center (FQHC)
- Avon, IN
- NPI 1447822150
-
- Federally Qualified Health Center (FQHC)
- Trafalgar, IN
- NPI 1255611331
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1154699346
-
- Federally Qualified Health Center (FQHC)
- Franklin, IN
- NPI 1194003657
-
- Federally Qualified Health Center (FQHC)
- Edinburgh, IN
- NPI 1295207827
-
- Federally Qualified Health Center (FQHC)
- Hope, IN
- NPI 1346520426
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1881061059
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Windrose Health Network Inc
Practice addresses (Care Compare)
11 Trafalgar SQ
Trafalgar, IN 46181-9515
14 Trafalgar SQ
Trafalgar, IN 46181-9515
Phone (317) 412-9190
Hospital & facility affiliations
- Community Hospital South, Inc.
- Johnson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.25 of 100
- Quality
- 91.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.44
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081023000800 | IN | Practitioner - Internal Medicine | 7911065677 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026289 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windrose Health Network Inc | Current | Accepting new patients | |
| Windrose Health Network Inc | Current | Accepting new patients | |
| Windrose Health Network, Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
911 E Main Cross St
Edinburgh, IN 46124
Phone (317) 739-4895
5550 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 534-4660
8921 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 780-7400
14 Trafalgar Sq
Trafalgar, IN 46181
Phone (317) 412-9190
Interoperability endpoints
- rlee31517@ecommunitydirect.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01026289 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14 Trafalgar SQ
Trafalgar, IN 46181-9515
Mailing address
14 Trafalgar SQ
Trafalgar, IN 46181-9515
Phone (317) 739-4895
Other practice location 1
1402 E County Line Road
Indianapolis, IN 46227-0963
Phone (317) 887-7000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100186130A | Medicaid | IN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2024.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1124023072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 TRAFALGAR SQ",
"city": "TRAFALGAR",
"state": "IN",
"postal_code": "461819515",
"telephone_number": "317-739-4895",
"fax_number": "812-526-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 TRAFALGAR SQ",
"city": "TRAFALGAR",
"state": "IN",
"postal_code": "461819515",
"telephone_number": "317-739-4895",
"fax_number": "812-526-4900"
}
],
"practiceLocations": [
{
"address_1": "1402 E County Line Road",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462270963",
"country_code": "US",
"telephone_number": "317-887-7000",
"fax_number": "317-887-7628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "RANDALL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01026289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100186130A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trafalgar, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.