Active NPI
Robert Elmer Lee, MD
- Nephrology Physician
- Louisville, KY
National Provider Identifier
1245234111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 27245
- Practice address
- 6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340 - Phone
- (502) 587-9660
- Fax
- (502) 540-5615
- NPI assigned
- Jun 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 27245 | KY | Primary |
Addresses
Primary practice location
6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340
Mailing address
6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340
Phone (502) 587-9660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64272453 | Medicaid | KY | |
| 000000062779 | Other | KY | ANTHEM |
| 1050714 | Other | KY | PASSPORT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1245234111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "STE 250",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053340",
"telephone_number": "502-587-9660",
"fax_number": "502-540-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "STE 250",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053340",
"telephone_number": "502-587-9660",
"fax_number": "502-540-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"middle_name": "ELMER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "27245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64272453",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000062779",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1050714",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.