Active NPI
Gary Timothy Lee, M.D.
- Internal Medicine Physician
- Belmont, CA
National Provider Identifier
1497834352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G74496
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G74496 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Hospitalist Physician
- San Mateo, CA
- NPI 1447423504
Internal Medicine
-
- Rehabilitation Hospital
- San Mateo, CA
- NPI 1770527251
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.