Individual provider Active NPI

Matthew Lee, M.D.

  • Diagnostic Radiology Physician
  • Bemidji, MN
National Provider Identifier
1326278573
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52683 Issued in MN
Practice address
1300 Anne St NW
Bemidji, MN 56601-5103
Phone
(218) 333-5283
NPI assigned
Jul 22, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1780628149MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100722000666 MN Practitioner - Diagnostic Radiology 4082746391 Reassigns benefits to 6 organizations
I20191014001682 IL Practitioner - Diagnostic Radiology 4082746391 Reassigns benefits to 1 organization
I20241113002882 ND Practitioner - Diagnostic Radiology 4082746391 Reassigns benefits to 4 organizations

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 CenterGroup PAC ID 8123937992, shared by 4 NPIs, 16 clinicians
Carrington Health CenterGroup PAC ID 0547177552, shared by 4 NPIs, 12 clinicians

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

LicenseStateTypeSpecialty
52683MNMDDiagnostic Radiology Physician
MD00048784WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Area Health Services CurrentSince May 24, 2023 Accepting new patients
St. Joseph's Area Health Services CurrentSince May 24, 2023 Accepting new patients
Glacial Ridge Hospital District CurrentSince Jun 8, 2020 Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2020 Accepting new patients
Carrington Health Center Current Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2020 Accepting new patients
Midwest Medical Center CurrentSince Sep 16, 2019 Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2020 Accepting new patients
Glacial Ridge Hospital District CurrentSince Jun 8, 2020 Accepting new patients
Carrington Health Center Current Accepting new patients
Carrington Health Center CurrentSince Oct 24, 2024 Accepting new patients
Mercy Medical Center Diagnostic Radiology CurrentSince Oct 24, 2024 Accepting new patients
St. Francis Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Carrington Health Center CurrentSince Oct 24, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Oct 24, 2024 Accepting new patients
St. Francis Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2020 Accepting new patients
Midwest Medical Center CurrentSince Sep 16, 2019 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • FHIR API: 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.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.