Active NPI
Lee A Hebert, M.D.
- Nephrology Physician
- Columbus, OH
National Provider Identifier
1124035522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35043616
- Practice address
- 456 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-4997
- Fax
- (614) 293-3073
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35043616 | OH | Primary |
Addresses
Primary practice location
456 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd
Suite 385
Columbus, OH 43202-1559
Phone (614) 947-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0398047 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35043616 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Specialists, Inc. | Nephrology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Osu Internal Medicine, LLC | Past | Accepting new patients | |
| Everest Healthcare Ohio, Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1336144732
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-
- General Acute Care Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1124035522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"address_2": "SUITE 385",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-947-3700",
"fax_number": "614-947-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-4997",
"fax_number": "614-293-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "LEE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35043616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0398047",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.