Active NPI
Robert DH Lee, MD
- Vascular Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2018031906
- Practice address
- 10012 Kennerly Rd Ste 305
Saint Louis, MO 63128-2197 - Phone
- (314) 525-4325
- NPI assigned
- Dec 5, 2005
- Last updated
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F89770 | VA | |
| Vascular Surgery Physician | 2086S0129X | 036119888 | IL | |
| Vascular Surgery Physician | 2086S0129X | 2018031906 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128-2197
Phone (314) 525-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119888 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- General Surgery
- Education
- Georgetown University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1794 Zumbehl Rd
Saint Charles, MO 63303-2759
Phone (636) 947-1666
83 Progress Pkwy
Maryland Heights, MO 63043-3701
Phone (314) 434-8174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F89770 | VA | MD | Specialist |
| 2018031906 | MO | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| Chong W. Lee, M.D., P.C. | Vascular Surgery | Past | Accepting new patients |
| Southern Surgical Associates PLLC | Vascular Surgery | Past | Accepting new patients |
| Virginia Beach Surgery, LTD | Vascular Surgery | Past | Accepting new patients |
Locations
6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603
83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174
5506 Corporate Dr
Ste 1700
Saint Joseph, MO 64507
Phone (816) 671-4880
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 6
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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1295131324
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Maryland Heights, MO
- NPI 1922404052
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1114323243
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Alexandria, VA
- NPI 1114109410
-
- Surgery Physician
- Virginia Beach, VA
- NPI 1154368975
Vascular Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1184608903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 305",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 305",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"middle_name": "DH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "F89770",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036119888",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2018031906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036119888",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.