Individual provider Active NPI

John H Lee, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1588655005
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101240076 Issued in VA
Practice address
2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400
Phone
(703) 698-4483
Fax
(703) 573-0880
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101240076 VA Primary

Addresses

Primary practice location

2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400

Mailing address

2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400
Phone (703) 698-4483

Other identifiers 5

IdentifierTypeStateIssuer
3810006594MedicaidWV
0091OtherVACAREFIRST BCBS
259989OtherVAKAISER
1536346OtherVAAETNA HMO
7974929OtherVAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070208000071 DC Practitioner - Diagnostic Radiology 2264434091 Reassigns benefits to 3 organizations
I20070328000477 VA Practitioner - Diagnostic Radiology 2264434091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

1600 N Beauregard St
Suite 200
Alexandria, VA 22311-1732
Phone (703) 698-4444

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

3833 Fairfax Dr
Suite 110
Arlington, VA 22203-1773
Phone (703) 698-4488

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6355 Walker LN
Alexandria, VA 22310-3245
Phone (703) 698-4444

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8503 Arlington Blvd
Suite Ll100
Fairfax, VA 22031-4629
Phone (703) 698-4488

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 698-4444

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Reston MRI Center LLC CurrentSince Aug 1, 2011 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 1, 2011 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2019 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jul 10, 2006 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Interoperability endpoints

  • Direct secure messaging: jlee25601@soc.inova.org

Organizations & group practices 6

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 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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1588655005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101240076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006594",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0091",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "259989",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1536346",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7974929",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.