Active NPI
Allen Robert Lee, M.D.
- Cardiovascular Disease Physician
- Hot Springs, AR
National Provider Identifier
1326044561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C4503
- Practice address
- 200 Heartcenter LN
Hot Springs, AR 71913-6351 - Phone
- (501) 624-6641
- Fax
- (501) 321-4890
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C4503 | AR | Primary |
Addresses
Primary practice location
200 Heartcenter LN
Hot Springs, AR 71913-6351
Mailing address
PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 624-6641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060022979 | Other | AR | RAILROAD MEDICARE |
| 104085001 | Medicaid | AR | |
| 53093 | Other | AR | BCBS OF AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4503 | AR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ar Cardiovascular Institute, PA | Current | Accepting new patients |
Locations
200 Heartcenter Ln
Hot Springs National Park, AR 71913
Phone (501) 624-6641
Interoperability endpoints
- https://api.platform.athenahealth.com/16721/brand/4/csg/1/fhir/r4
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.
-
- Interventional Cardiology Physician
- Hot Springs, AR
- NPI 1104835800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1326044561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21850",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719031850",
"telephone_number": "501-624-6641",
"fax_number": "501-321-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEARTCENTER LN",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136351",
"telephone_number": "501-624-6641",
"fax_number": "501-321-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALLEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "C4503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060022979",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104085001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AR",
"identifier": "53093",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.