Active NPI
David Alvin Lee, M.D.
- Dermatology Physician
- Damascus, MD
National Provider Identifier
1427263441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 390200000X
- Practice address
- 26215 Ridge Rd
Damascus, MD 20872-1829 - Phone
- (301) 253-1100
- Fax
- (301) 825-5163
- NPI assigned
- May 12, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 257088-1 | NY | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 257088-1 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 257088-1 | NY | |
| Dermatology Physician | 207N00000X | 390200000X | MD | Primary |
Addresses
Primary practice location
26215 Ridge Rd
Damascus, MD 20872-1829
Mailing address
8510 Beech Tree Rd
Bethesda, MD 20817-2949
Phone (301) 253-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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
- Dermatology
- Education
- Columbia University College of Physicians and Surgeons, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26215 Ridge Rd
Damascus, MD 20872-1829
Phone (301) 253-1100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 118 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1422 |
| Removal of skin cancer | 459 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257088-1 | NY | MD | Procedural Dermatology Physician |
| 390200000X | MD | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dal Dermatology, Inc. | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Long Island Skin Cancer & Dermatologic Surgery, PC | Procedural Dermatology | Past | Accepting new patients |
Locations
26215 Ridge Rd
Damascus, MD 20872
Phone (240) 393-8529
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Procedural Dermatology Physician
- Smithtown, NY
- NPI 1851595094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1427263441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BEECH TREE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172949",
"telephone_number": "301-253-1100",
"fax_number": "301-825-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26215 RIDGE RD",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721829",
"telephone_number": "301-253-1100",
"fax_number": "301-825-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "257088-1",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "257088-1",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "257088-1",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "390200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.