Individual provider Active NPI

Timothy C Lee, M.D.

  • Interventional Cardiology Physician
  • Birmingham, AL
National Provider Identifier
1477588408
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
29498 Issued in AL
Practice address
2022 Brookwood Medical Center Drive
Suite 403
Birmingham, AL 35209-6808
Phone
(205) 721-2777
Fax
(205) 721-2779
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 29498 AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Center Drive
Suite 403
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Center Drive
Suite 403
Birmingham, AL 35209-6808
Phone (205) 721-2777

Other identifiers 1

IdentifierTypeStateIssuer
110800MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090713000256 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6800948407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
East Tennessee State University Quillen College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Heart and Vascular, P. C.Group PAC ID 5092989384, 2 clinicians

Practice addresses (Care Compare)

2022 Brookwood Med Ctr Dr
Birmingham, AL 35209-6807
Phone (205) 721-2777

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 721-2777

513 Brookwood Blvd
Suite 502
Homewood, AL 35209-7824
Phone (205) 721-2777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Heart & Vascular, P. C. Interventional Cardiology CurrentSince Nov 1, 2011 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Past Accepting new patients

Locations

2022 Brookwood Medical Ctr Dr
Ste 403
Birmingham, AL 35209
Phone (205) 721-2777

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • Direct secure messaging: timothy.lee@ehi.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCHBA

Organizations & group practices 2

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 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1477588408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-721-2777",
            "fax_number": "205-721-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-721-2777",
            "fax_number": "205-721-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "29498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110800",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.