Individual provider Active NPI

Gary Timothy Lee, M.D.

  • Internal Medicine Physician
  • Belmont, CA
National Provider Identifier
1497834352
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G74496 Issued in CA
Practice address
2140 Carlmont Dr
Belmont, CA 94002-3417
Phone
(650) 591-9601
Fax
(888) 480-8735
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G74496 CA Primary

Addresses

Primary practice location

2140 Carlmont Dr
Belmont, CA 94002-3417

Mailing address

PO Box 5639
San Mateo, CA 94402-0639
Phone (650) 344-6353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040719001438 CA Practitioner - Internal Medicine 0143209403 Practice locations: San Bruno, CA; San Mateo, CA; Belmont, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74496CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Gary Lee, M.D. & James Chen M.D., Inc. Internal Medicine PastSince May 30, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: glee45995@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1497834352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5639",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944020639",
            "telephone_number": "650-344-6353",
            "fax_number": "650-344-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CARLMONT DR",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023417",
            "telephone_number": "650-591-9601",
            "fax_number": "888-480-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GARY",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G74496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.