Active NPI
Vickie Kyuran Lee, M.D.
- Allergy Physician
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 0101242747
- Practice address
- 44320 Premier PLZ
Suite #110
Ashburn, VA 20147-5076 - Phone
- (703) 723-8727
- Fax
- (703) 723-9787
- NPI assigned
- Dec 13, 2007
- Last updated
- Aug 25, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 0101242747 | VA | Primary |
Addresses
Primary practice location
44320 Premier PLZ
Suite #110
Ashburn, VA 20147-5076
Mailing address
44320 Premier PLZ
Suite #110
Ashburn, VA 20147-5076
Phone (703) 723-8727
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 952108 | Other | VA | AETNA |
| D393-0001 | Other | VA | CAREFIRST BCBS |
| 1346423381 | Medicaid | VA | |
| 3179242 | Other | VA | ONENET |
| 4569213 | Other | VA | CIGNA |
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
- Allergy/Immunology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Crown CT
Suite 201
Woodbridge, VA 22193-1463
Phone (703) 499-8787
44320 Premier PLZ
Suite 110
Ashburn, VA 20147-5077
Phone (703) 723-8727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242747 | VA | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT & Allergy Specialists of Virginia PC | Allergy | Current | Accepting new patients |
| Centers for Advanced ENT Care, LLC | Current | Accepting new patients | |
| Cumberland Valley ENT Consultants | Past | Accepting new patients |
Locations
44320 Premier Plz
Ste 110
Ashburn, VA 20147
Phone (703) 229-2373
14000 Crown Ct
Ste 201
Woodbridge, VA 22193
Phone (703) 499-8787
Organizations & group practices 3
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.
-
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- Ashburn, VA
- NPI 1093992570
Allergy
-
dba Drs. Drawbaugh, Saylor, Wathne & Cukier, P. A.
- Otolaryngology Physician
- Hagerstown, MD
- NPI 1649272824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1346423381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44320 PREMIER PLZ",
"address_2": "SUITE #110",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475076",
"telephone_number": "703-723-8727",
"fax_number": "703-723-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44320 PREMIER PLZ",
"address_2": "SUITE #110",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475076",
"telephone_number": "703-723-8727",
"fax_number": "703-723-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "VICKIE",
"middle_name": "KYURAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "VA",
"license": "0101242747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "952108",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "D393-0001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346423381",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONENET",
"identifier": "3179242",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4569213",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.