NPIMap

Individual provider Active NPI

Maximilian H Lee, M.D.

  • Cardiovascular Disease Physician
  • Hartford, CT
National Provider Identifier
1447379375
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
CT50907 Issued in CT
Practice address
85 Seymour St
Suite 719
Hartford, CT 06106-5501
Phone
(860) 522-0604
Fax
(860) 247-0422
NPI assigned
Mar 29, 2007
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X CT50907 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 719
Hartford, CT 06106-5501

Mailing address

85 Seymour St
Suite 719
Hartford, CT 06106-5501
Phone (860) 522-0604

Other identifiers 2

IdentifierTypeStateIssuer
9044942OtherCTAETNA
050907OtherCTCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000272 CT Practitioner - Cardiovascular Disease (Cardiology) 5193981066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consulting Cardiologists PCGroup PAC ID 7113916149, 23 clinicians
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

305 Western Blvd
Suite 100
Glastonbury, CT 06033-4380
Phone (860) 522-0604

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.98 of 100Reported as individual
Quality
88.85
Promoting interoperability
100
Improvement activities
40
Cost
83.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CT50907CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consulting Cardiologists, P.C. Cardiovascular Disease CurrentSince Jul 9, 2012 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince May 1, 2025 Accepting new patients
Hartford Hospital CurrentSince May 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince May 1, 2025 Accepting new patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Jul 9, 2012 Accepting new patients
Hartford Hospital CurrentSince May 1, 2025 Accepting new patients

Locations

100 Simsbury Rd
Ste 202
Avon, CT 06001
Phone (860) 242-6633

305 Western Blvd
#100
Glastonbury, CT 06033
Phone (860) 247-0604

305 Western Blvd
Ste 100
Glastonbury, CT 06033
Phone (860) 525-1532

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maximilian.lee.1@6291.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1447379375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 719",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-522-0604",
            "fax_number": "860-247-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 719",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-522-0604",
            "fax_number": "860-247-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MAXIMILIAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "CT50907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9044942",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTCARE",
            "identifier": "050907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.