Active NPI
Sally S. Lee, M.D.
- Nephrology Physician
- Stratford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD424986
- Practice address
- 99 Hawley LN
Stratford, CT 06614-1202 - Phone
- (203) 666-8145
- NPI assigned
- Jan 31, 2006
- Last updated
- Jun 13, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 219997-1 | NY | |
| Nephrology Physician | 207RN0300X | MD424986 | PA | Primary |
Addresses
Primary practice location
99 Hawley LN
Stratford, CT 06614-1202
Mailing address
PO Box 202
Ithaca, NY 14851-0202
Phone (607) 483-4004
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02411636 | Medicaid | NY | |
| 1010814360001 | Medicaid | PA | |
| GU040072 | Other | PA | PA MEDICARE GROUP |
| P00173973 | Other | PA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, NJ, CT, NH, MA, AL, RI, VT, FL, GA, ME, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Dorrance St
Suite 700
Providence, RI 02903-2014
Phone (203) 666-8145
100 Cambridge St
FL 14
Boston, MA 02114-2509
Phone (203) 666-8145
100 S Juniper St
FL 3
Philadelphia, PA 19107-1316
Phone (203) 666-8145
101 Creekside Dr
Painted Post, NY 14870-9208
Phone (203) 666-8145
1045 Elm St
Suite 204
Manchester, NH 03101-1844
Phone (203) 666-8145
111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145
200 Continental Dr
Suite 401
Newark, DE 19713-4337
Phone (203) 666-8145
2100 Southbridge Pkwy
Suite 650
Birmingham, AL 35209-1317
Phone (203) 666-8145
217 N Aurora St
Suite 2
Ithaca, NY 14850-4345
Phone (607) 256-8869
221 River St
Suite 9
Hoboken, NJ 07030-5990
Phone (203) 666-8145
3455 Peachtree Rd N E
5TH Floor
Atlanta, GA 33026-3254
Phone (203) 666-8145
3455 Peachtree Rd NE
Suite 5
Atlanta, GA 30326-3254
Phone (203) 666-8145
475 Ethan Allen Ave
Colchester, VT 05446-3312
Phone (203) 666-8145
700 Maine Ave
Suite 3
Bangor, ME 04401-3021
Phone (203) 666-8145
99 Hawley LN
Suite 1102
Stratford, CT 06614-1204
Phone (203) 666-8145
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
- Auburn Community Hospital
- Encompass Health Rehabilitation Hospital of Readin
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219997-1 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Internal Medicine of Ithaca, PLLC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, LTD. | Nephrology | Current | Accepting new patients |
| Topaz Bay Senior Health PC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Ann R. Costello, MD | Current | Accepting new patients | |
| Chess Medicine PLLC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Tapestry Telehealth PLLC | Current | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients | |
| Ann R Costello | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Family Medicine | Past | Accepting new patients |
| Cayuga Ridge, LLC | Past | Accepting new patients | |
| Btrnc, LLC | Past | Accepting new patients |
Locations (25 of 30)
1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
99 Hawley Ln
Stratford, CT 06614
Phone (203) 377-4788
99 Hawley Ln
Ste 1102
Stratford, CT 06614
4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
3455 Peachtree Rd NE
#5
Atlanta, GA 30326
3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
359 Jones Rd
Falmouth, MA 02540
Phone (508) 457-6000
700 Maine Ave
Ste 3
Bangor, ME 04401
Phone (914) 246-4100
26 Pleasant St
Canton, ME 04221
Phone (207) 597-2510
1045 Elm St
Ste 204
Manchester, NH 03101
Phone (603) 851-3801
55 Harris Rd
Nashua, NH 03062
Phone (603) 324-4415
115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
217 N Aurora St
Ithaca, NY 14850
Phone (607) 256-8869
217 N Aurora St
Ste 2
Ithaca, NY 14850
Phone (607) 256-8869
318 S Albany St
Ithaca, NY 14850
Phone (607) 273-4166
116 E 125th St
New York, NY 10035
Phone (212) 395-9000
6060 Armor Rd
Orchard Park, NY 14127
Phone (716) 662-2544
101 Creekside Dr
Painted Post, NY 14870
Phone (570) 561-2982
7 Hemion Rd
Ste 110
Suffern, NY 10901
100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534
Interoperability endpoints
- drlee@amms.medentdirect.com
- sally.lee@costelloandcostellomds.chartmakerdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Montebello, NY
- NPI 1699385021
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1043736309
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
AL, CT, DE, FL, GA, MA, ME, NH, NJ, PA, RI, VT
-
- Geriatric Medicine (Internal Medicine) Physician
- Hoboken, NJ
- NPI 1194518134
AL, FL, GA
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1528269230
-
- Nephrology Physician
- Sayre, PA
- NPI 1063464410
-
- Obstetrics & Gynecology Physician
- Sayre, PA
- NPI 1053363408
-
dba Beechtree Center for Rehabilitation and Nursing
- Skilled Nursing Facility
- Ithaca, NY
- NPI 1952737637
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
dba Encompass Health Rehabilitation Hospital of Reading
- Rehabilitation Hospital
- Reading, PA
- NPI 1457324170
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1447221189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202",
"city": "ITHACA",
"state": "NY",
"postal_code": "148510202",
"telephone_number": "607-483-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 HAWLEY LN",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141202",
"telephone_number": "203-666-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SALLY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "219997-1",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD424986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02411636",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010814360001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICARE GROUP",
"identifier": "GU040072",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00173973",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.