Individual provider Active NPI

Sally S. Lee, M.D.

  • Nephrology Physician
  • Stratford, CT
National Provider Identifier
1447221189
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD424986 Issued in PA
Practice address
99 Hawley LN
Stratford, CT 06614-1202
Phone
(203) 666-8145
NPI assigned
Jan 31, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02411636MedicaidNY
1010814360001MedicaidPA
GU040072OtherPAPA MEDICARE GROUP
P00173973OtherPARR 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, DE13 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 13

Enrollment IDStateProvider typePAC IDDetails
I20040319001213 NY Practitioner - Internal MedicinePractitioner - Nephrology 1557251600 Reassigns benefits to 2 organizations
I20040923000629 PA Practitioner - Nephrology 1557251600 Reassigns benefits to 2 organizations
I20241227000171 NJ Practitioner - Internal Medicine 1557251600 Reassigns benefits to 2 organizations
I20250520001680 CT Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization
I20250701000796 NH Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization
I20250707001609 MA Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization
I20250710001551 AL Practitioner - Internal Medicine 1557251600 Reassigns benefits to 3 organizations
I20250721003073 RI Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization
I20250916001723 VT Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization
I20250918001049 FL Practitioner - Internal Medicine 1557251600 Reassigns benefits to 2 organizations
I20250930004677 GA Practitioner - Internal Medicine 1557251600 Reassigns benefits to 3 organizations
I20251014001594 ME Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization
I20260429003001 DE Practitioner - Internal Medicine 1557251600 Reassigns benefits to 1 organization

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
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Chess Medicine PLLCGroup PAC ID 6406260736, 16 clinicians
Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians
Primary Care Internal Medicine of Ithaca PLLCGroup PAC ID 0244504405, 5 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219997-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Internal Medicine of Ithaca, PLLC CurrentSince May 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, LTD. Nephrology CurrentSince Aug 2, 2004 Accepting new patients
Topaz Bay Senior Health PC CurrentSince Aug 18, 2025 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Aug 2, 2004 Accepting new patients
Ann R. Costello, MD Current Accepting new patients
Chess Medicine PLLC CurrentSince Nov 18, 2022 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine Current Accepting new patients
Tapestry Telehealth PLLC CurrentSince Apr 21, 2024 Accepting new patients
Robert Packer Hospital Past Accepting new patients
Ann R Costello PastSince May 1, 2025 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

  • Direct secure messaging: drlee@amms.medentdirect.com
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.