Active NPI
Matthew Lee, M.D.
- Diagnostic Radiology Physician
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 52683
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5283
- NPI assigned
- Jul 22, 2009
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00048784 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 52683 | MN | Primary |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
PO Box 2010
Fargo, ND 58122-2484
Phone (218) 333-5283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780628149 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of North Dakota School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Medical CenterCarrington Health Center
Practice addresses (Care Compare)
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000
600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone (218) 732-3311
820 N 5TH St
Carrington, ND 58421-1223
Phone (701) 652-2515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52683 | MN | MD | Diagnostic Radiology Physician |
| MD00048784 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph's Area Health Services | Current | Accepting new patients | |
| St. Joseph's Area Health Services | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Carrington Health Center | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Carrington Health Center | Current | Accepting new patients | |
| Carrington Health Center | Current | Accepting new patients | |
| Mercy Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| St. Francis Medical Center | Current | Accepting new patients | |
| Carrington Health Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Home Care | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| St. Francis Medical Center | Past | Accepting new patients |
Locations
3293 Solutions Ctr
Chicago, IL 60677
3314 Solutions Ctr
Chicago, IL 60677
3369 Solutions Ctr
Chicago, IL 60677
7776 Solutions Ctr
Chicago, IL 60677
1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
800 4th St N
Carrington, ND 58421
Phone (701) 652-3141
820 5th St N
Carrington, ND 58421
Phone (701) 399-0123
1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
Organizations & group practices 22
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 CHI St. Joseph's Health
- Critical Access Hospital
- Park Rapids, MN
- NPI 1023086055
-
dba Brooten Medical Center
- Family Medicine Physician
- Brooten, MN
- NPI 1255348223
-
dba Lake Region Healthcare
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
dba St. Francis Healthcare Campus
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
dba CHI St. Alexius Health Carrington
- Critical Access Hospital
- Carrington, ND
- NPI 1205807013
-
dba CHI St. Alexius Health Carrington Medical Clinic & Urgent Care
- Rural Health Clinic/Center
- Carrington, ND
- NPI 1558389338
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
-
dba Chi St Alexius Health Williston
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
dba Starbuck Medical Center
- Rural Health Clinic/Center
- Starbuck, MN
- NPI 1063952026
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Joseph's Health
- Critical Access Hospital
- Park Rapids, MN
- NPI 1023086055
-
dba CHI St. Alexius Health Carrington
- Critical Access Hospital
- Carrington, ND
- NPI 1205807013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326278573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2010",
"city": "FARGO",
"state": "ND",
"postal_code": "581222484",
"telephone_number": "218-333-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015103",
"telephone_number": "218-333-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00048784",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "52683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780628149",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.