Active NPI
Douglas Wong Lee, MD
- Physical Medicine & Rehabilitation Physician
- Novi, MI
National Provider Identifier
1598753634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301033409
- Practice address
- 28455 Haggerty Rd
Ste 200
Novi, MI 48377-2982 - Phone
- (248) 893-3200
- Fax
- (248) 893-2950
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301033409 | MI | Primary |
Addresses
Primary practice location
28455 Haggerty Rd
Ste 200
Novi, MI 48377-2982
Mailing address
Dept CH 17876
Palatine, IL 60055-0001
Phone (248) 893-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4212181 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMG 1 PC | Past | Accepting new patients | |
| Rehabilitation Physicians PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1982639357
-
- Physical Medicine & Rehabilitation Physician
- Novi, MI
- NPI 1891783916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1598753634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT CH 17876",
"city": "PALATINE",
"state": "IL",
"postal_code": "600550001",
"telephone_number": "248-893-3200",
"fax_number": "248-893-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28455 HAGGERTY RD",
"address_2": "STE 200",
"city": "NOVI",
"state": "MI",
"postal_code": "483772982",
"telephone_number": "248-893-3200",
"fax_number": "248-893-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DOUGLAS",
"middle_name": "WONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301033409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4212181",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.