Active NPI
Matthew Lee, DO
- Emergency Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.015856
- Practice address
- 5100 W Broad St
Columbus, OH 43228-1607 - Phone
- (614) 544-1047
- NPI assigned
- Mar 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 34.015856 | OH | Primary |
Addresses
Primary practice location
5100 W Broad St
Columbus, OH 43228-1607
Mailing address
1111 S Cimarron Rd Apt 223
Las Vegas, NV 89117-1361
Phone (650) 255-9232
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlee28893@lickingmemorial.medicity.net | Licking Memorial Health Professionals |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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
- Emergency Medicine
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015856 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| Nevada Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Nevada Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
Locations
9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000
3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100
3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109
10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100
1041 Steamboat Pkwy
Reno, NV 89521
Phone (702) 505-4230
6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000
2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
-
- Emergency Medicine Physician
- Reno, NV
- NPI 1013519388
-
- Emergency Medicine Physician
- Reno, NV
- NPI 1730957275
-
- Emergency Medicine Physician
- Sparks, NV
- NPI 1790462232
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Hills Hospital & Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
dba Sunrise Hospital and Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1205397874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S CIMARRON RD APT 223",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171361",
"telephone_number": "650-255-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281607",
"telephone_number": "614-544-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.015856",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlee28893@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Health Professionals",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 9, 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.