Active NPI
Phayon Lee, M.D
- Pediatric Anesthesiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- MD048511
- Practice address
- 111 Michigan Ave NW
Washington, DC 20010-2916 - Phone
- (202) 476-5000
- NPI assigned
- Apr 14, 2016
- Last updated
- Apr 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | MD048511 | DC | Primary |
Addresses
Primary practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Mailing address
PO Box 744785
Atlanta, GA 30374-4785
Phone (202) 476-5000
Other practice location 1
2041 Georgia Ave NW
Washington, DC 20059-0001
Phone (443) 985-8246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD048511 | Other | DC | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | plee5@cnmc.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Anesthesiology
- Education
- Howard University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6401 N Charles St
RM 4226
Baltimore, MD 21212-1016
Phone (443) 849-2121
6569 N Charles St PPW 1St Floor
Women's Outpatient Surgical Center
Baltimore, MD 21204-6831
Phone (443) 849-2420
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD048511 | DC | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| GBMC Hospital Based Services, LLC. | Single Specialty | Current | Accepting new patients |
| University of Maryland St. Joseph Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Anesthesia Company, LLC | Single Specialty | Current | Accepting new patients |
Locations
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1730824400
Single Specialty
-
dba University of Maryland St. Joseph Medical Group
- General Practice Physician
- Towson, MD
- NPI 1770836785
Single Specialty
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1174977391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744785",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744785",
"telephone_number": "202-476-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102916",
"telephone_number": "202-476-5000"
}
],
"practiceLocations": [
{
"address_1": "2041 Georgia Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200590001",
"country_code": "US",
"telephone_number": "443-985-8246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "PHAYON",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "DC",
"license": "MD048511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD048511",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "plee5@cnmc.org",
"affiliation": "N",
"address_1": "111 Michigan Ave NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200102916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.