Active NPI
Timothy N Lee, M.D.
- Family Medicine Physician
- Smithfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101047603
- Practice address
- 919 S Church St
Smithfield, VA 23430-1715 - Phone
- (757) 365-8018
- Fax
- (757) 356-9451
- NPI assigned
- Jul 11, 2006
- Last updated
- Apr 11, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101047603 | VA | Primary |
Addresses
Primary practice location
919 S Church St
Smithfield, VA 23430-1715
Mailing address
2800 Godwin Blvd
Ste 210
Suffolk, VA 23434-8038
Phone (757) 934-4162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005620015 | Medicaid | VA | |
| 393618 | Other | VA | ANTHEM PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| Sentara Medical Group | Family Medicine | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
919 S Church St
Smithfield, VA 23430
Phone (757) 357-3291
2800 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-4162
4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1255366944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 GODWIN BLVD",
"address_2": "STE 210",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348038",
"telephone_number": "757-934-4162",
"fax_number": "757-934-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 S CHURCH ST",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301715",
"telephone_number": "757-365-8018",
"fax_number": "757-356-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TIMOTHY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101047603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005620015",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "393618",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.