Active NPI
Mira V Lee, MD
- Family Medicine Physician
- Thornton, CO
National Provider Identifier
1497736722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0038019
- Practice address
- 13421 Quebec St
Thornton, CO 80602-8647 - Phone
- (303) 498-2850
- Fax
- (303) 272-0382
- NPI assigned
- Nov 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0038019 | CO | Primary |
Addresses
Primary practice location
13421 Quebec St
Thornton, CO 80602-8647
Mailing address
1509 Ridgeview Dr
Louisville, CO 80027-1605
Phone (303) 819-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99627817 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Family Practice
- Education
- Ohio State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13421 Quebec St
Thornton, CO 80602-8647
Phone (303) 272-0500
4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885
Hospital & facility affiliations
- Intermountain Health Platte Valley Hospital
- Good Samaritan Medical Center LLC
- Boulder Community Health
- Adventhealth Avista
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platte Valley Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Platte Valley Medical Group, LLC | Current | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Platte Valley Medical Group LLC | Family Medicine | Past | Accepting new patients |
Locations
4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
13421 Quebec St
Thornton, CO 80602
Phone (303) 498-2850
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brighton, CO
- NPI 1922812593
-
- Obstetrics & Gynecology Physician
- Brighton, CO
- NPI 1780208066
-
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
-
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- Family Medicine Physician
- Brighton, CO
- NPI 1730698820
Hospital & facility affiliations 45
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1497736722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 RIDGEVIEW DR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271605",
"telephone_number": "303-819-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13421 QUEBEC ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "806028647",
"telephone_number": "303-498-2850",
"fax_number": "303-272-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MIRA",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0038019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99627817",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.