Individual provider Active NPI

Charis A Lee, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1164422317
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222256 Issued in NY
Practice address
1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723
Phone
(585) 319-5354
Fax
(833) 450-5339
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 222256 NY
Internal Medicine Physician 207R00000X 222256 NY Primary

Addresses

Primary practice location

1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723

Mailing address

1815 S Clinton Ave Ste 620
Rochester, NY 14618-5723
Phone (585) 319-5354

Other practice location 1

30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 381-1440

Other identifiers 4

IdentifierTypeStateIssuer
02269363MedicaidNY
P010222256OtherNYBLUE CHOICE
109781BJOtherNYPREFERRED CARE
7559460OtherNYAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clee52132@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101015000558 NY Practitioner - Internal MedicinePractitioner - Hospitalist 2567655137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flower City Medical Group LLPGroup PAC ID 3577003573, 3 clinicians

Practice addresses (Care Compare)

1815 S Clinton Ave
Suite 620
Rochester, NY 14618-5723
Phone (585) 319-5354

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jun 5, 2012 Accepting new patients
Rochester General Hospital CurrentSince Jun 5, 2012 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients

Locations

30 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 381-1440

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

103 White Spruce Blvd
Rochester, NY 14623
Phone (585) 292-5830

Interoperability endpoints

  • Direct secure messaging: charis.lee.1@30804.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1164422317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 620",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-319-5354",
            "fax_number": "833-450-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE STE 620",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185723",
            "telephone_number": "585-319-5354",
            "fax_number": "833-450-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hagen Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252658",
            "country_code": "US",
            "telephone_number": "585-381-1440",
            "fax_number": "585-586-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHARIS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "222256",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02269363",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010222256",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "109781BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7559460",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clee52132@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1815 S Clinton Ave Ste 620",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146185723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.