Individual provider Active NPI

Michael W Lee, MD

  • Nephrology Physician
  • Fort Dodge, IA
National Provider Identifier
1407828718
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24570 Issued in IA
Practice address
800 Kenyon Rd
Fort Dodge, IA 50501-5776
Phone
(515) 574-6080
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 24570 IA Primary

Addresses

Primary practice location

800 Kenyon Rd
Fort Dodge, IA 50501-5776

Mailing address

24 N 9TH St
Suite a
Fort Dodge, IA 50501-3909
Phone (515) 574-6890

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000032 IA Practitioner - NephrologyPractitioner - Internal Medicine 7911088729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

117 S 25TH St
Davita Renal Center of Fort Dodge
Fort Dodge, IA 50501-4357
Phone (800) 424-6589

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

800 Kenyon Rd
Fort Dodge, IA 50501-5776

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24570IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 22, 2019 Accepting new patients
State University of Iowa CurrentSince Jul 5, 2024 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

24 N 9th St
Ste A
Fort Dodge, IA 50501

800 Kenyon Rd
Ste Y
Fort Dodge, IA 50501
Phone (515) 574-6080

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

2015 W 5th St
Storm Lake, IA 50588
Phone (717) 732-6650

Interoperability endpoints

  • Direct secure messaging: mlee2458@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Regional Medical CenterFort Dodge, IA, CCN 160016 Hospital Corporate Director Oct 28, 2021
Unitypoint Clinic Family Medicine Second Avenue NorthFort Dodge, IA, CCN 168599 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine Sac CitySac City, IA, CCN 168600 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic - Kenyon RoadFort Dodge, IA, CCN 168604 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine MansonManson, IA, CCN 168606 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine PocahontasPocahontas, IA, CCN 168598 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine HumboldtHumboldt, IA, CCN 168597 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine Lake ViewLake View, IA, CCN 168605 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine LaurensLaurens, IA, CCN 168596 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine Eagle GroveEagle Grove, IA, CCN 168601 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Pediatrics Fort DodgeFort Dodge, IA, CCN 168603 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Health Center - Storm LakeStorm Lake, IA, CCN 168613 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic Family Medicine - Buena VistaStorm Lake, IA, CCN 168612 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022
Unitypoint Clinic - Express in Fort DodgeFort Dodge, IA, CCN 168658 Rural health clinic Contracted Managing Employee
Corporate Director
Operational/Managerial Control
Jan 1, 2022
Oct 28, 2021
Jan 1, 2022

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1407828718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013909",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-8270",
            "fax_number": "319-356-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "24570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.