Individual provider Active NPI

Randall A Lee, M.D.

  • Internal Medicine Physician
  • Trafalgar, IN
National Provider Identifier
1124023072
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01026289 Issued in IN
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.

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 27 clinicians

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. Hospital, Indianapolis, IN, CCN 150128
  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
01026289INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windrose Health Network Inc Current Accepting new patients
Windrose Health Network Inc CurrentSince Nov 1, 2023 Accepting new patients
Windrose Health Network, Inc. CurrentSince Nov 1, 2023 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

  • Direct secure messaging: rlee31517@ecommunitydirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01026289 IN Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
100186130AMedicaidIN

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

Verify at the official NPI Registry.