Active NPI
Lee Whitmore Eschenroeder, M.D.
- Cardiovascular Disease Physician
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD20034
- Practice address
- 950 Warren Ave Ste 201
East Providence, RI 02914-1432 - Phone
- (401) 606-1004
- Fax
- (401) 606-1153
- NPI assigned
- Apr 18, 2017
- Last updated
- Aug 15, 2024
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD60977125 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | MD20034 | RI | Primary |
| Internal Medicine Physician | 207R00000X | MD60977125 | WA |
Addresses
Primary practice location
950 Warren Ave Ste 201
East Providence, RI 02914-1432
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 228-3440 ext. 4322
Other practice location 2
1959 NE Pacific St
Box 356421
Seattle, WA 98195-6421
Phone (206) 543-3605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2083663 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
- Cardiovascular Disease (Cardiology)
- Education
- University of Virginia School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 Collyer St
Suite 100
Providence, RI 02904-1560
Phone (401) 793-7191
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20034 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Valley Medical Group-Renton | Internal Medicine | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2000
East Greenwich, RI 02818
Phone (401) 606-1100
950 Warren Ave
Ste 201
East Providence, RI 02914
Phone (855) 332-8474
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
164 Summit Ave
Ste 210
Providence, RI 02906
Phone (401) 793-7870
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191
593 Eddy St
Providence, RI 02903
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Interoperability endpoints
- leschenroeder227801@brownhealth.medalliesdirect.net
Organizations & group practices 9
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 Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1851677470
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- General Acute Care Hospital
- Providence, RI
- NPI 1770520462
-
dba The Men's Health Center
- Adult Medicine Physician
- Providence, RI
- NPI 1831362813
-
dba Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1285168096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WARREN AVE STE 201",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141432",
"telephone_number": "401-606-1004",
"fax_number": "401-606-1153"
}
],
"practiceLocations": [
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "425-228-3440 x4322",
"fax_number": "425-656-4214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1959 NE Pacific St",
"address_2": "Box 356421",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981956421",
"country_code": "US",
"telephone_number": "206-543-3605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESCHENROEDER",
"first_name": "LEE",
"middle_name": "WHITMORE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD60977125",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD20034",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60977125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2083663",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.