Individual provider Active NPI

Alan James Lee, MD

  • Maternal & Fetal Medicine Physician
  • Urbana, IL
National Provider Identifier
1356738751
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036172335 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2501
Phone
(217) 383-4930
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S4333 TX
Maternal & Fetal Medicine Physician 207VM0101X MD61197180 WA
Student in an Organized Health Care Education/Training Program 390200000X
Maternal & Fetal Medicine Physician 207VM0101X 036172335 IL Primary

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2501

Mailing address

611 W Park St
Fapc
Urbana, IL 61801-2500

Other practice location 1

1110 112th Ave NE Ste 100
Bellevue, WA 98004-4509
Phone (425) 688-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221206003128 WA Practitioner - Obstetrics/Gynecology 1254620610 Reassigns benefits to 1 organization
I20241203001472 IL Practitioner - Obstetrics/Gynecology 1254620610 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

Practice addresses (Care Compare)

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

516 W Madison St
Danville, IL 61832-5657

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S4333TXMDObstetrics & Gynecology Physician
036172335ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc Current Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Jan 8, 2025 Accepting new patients
Carle Bromenn Medical Center CurrentSince Nov 25, 2024 Accepting new patients
Carle Eureka Hospital Current Accepting new patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Oct 15, 2022 Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology CurrentSince Jan 2, 2020 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jan 8, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Nov 25, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince Nov 25, 2024 Accepting new patients
Carle Bromenn Medical Center CurrentSince Nov 25, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Nov 25, 2024 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

3024 E Empire St
Ste C
Bloomington, IL 61704
Phone (217) 735-9555

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
#1359
Galveston, TX 77555
Phone (409) 747-4952

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1110 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 688-8111

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

12333 NE 130th Ln
Ste 240
Kirkland, WA 98034
Phone (425) 899-2200

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Interoperability endpoints

  • Direct secure messaging: alee44357@direct.utmb.edu
  • Direct secure messaging: aleemd430019@carlehiedirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1356738751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-383-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 112th Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044509",
            "country_code": "US",
            "telephone_number": "425-688-8111",
            "fax_number": "425-688-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALAN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S4333",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "MD61197180",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036172335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.