Active NPI
Roger Lee, MD
- Family Medicine Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60662669
- Practice address
- 1400 E Kincaid St
Mount Vernon, WA 98274-4127 - Phone
- (360) 428-2501
- Fax
- (360) 428-2596
- NPI assigned
- Jun 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD60662669 | WA | |
| Family Medicine Physician | 207Q00000X | MD60662669 | WA | Primary |
Addresses
Primary practice location
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Mailing address
1400 E Kincaid St
Attn: Credentialing
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Other practice location 1
2320 Freeway Dr
Mount Vernon, WA 98273-5445
Phone (360) 814-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- University of Texas Medical School at Houston, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11603 State Ave
Suite G
Marysville, WA 98271-8465
Phone (360) 658-6800
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
Hospital & facility affiliations
- Providence at Home With Compassus, Snohomish County
- Assured Home Health
- Providence Regional Medical Center Everett
- Skagit Valley Hospital
- Cascade Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Providence Health & Services - Washington | Family Medicine | Current | Accepting new patients |
Locations
11603 State Ave
Ste G
Marysville, WA 98271
Phone (360) 658-6800
2320 Freeway Dr
Mount Vernon, WA 98273
Phone (360) 814-6800
901 S 5th St
Mount Vernon, WA 98274
Phone (360) 428-6434
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141
Interoperability endpoints
- rlee3752478@wm.providencedirect.org
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.
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- General Practice Physician
- Everett, WA
- NPI 1013169507
Family Medicine
-
- Obstetrics & Gynecology Physician
- Arlington, WA
- NPI 1073554903
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Everett, WA
- NPI 1720800857
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1770998528
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Arlington, WA
- NPI 1073566246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1619230281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"address_2": "ATTN: CREDENTIALING",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2500",
"fax_number": "360-428-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2501",
"fax_number": "360-428-2596"
}
],
"practiceLocations": [
{
"address_1": "2320 Freeway Dr",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982735445",
"country_code": "US",
"telephone_number": "360-814-6800",
"fax_number": "360-814-6953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ROGER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WA",
"license": "MD60662669",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60662669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.