Individual provider Active NPI

Lee Coleman Hinnant, M.D.

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1619986262
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101238935 Issued in VA
Practice address
828 Healthy Way
Suite 220
Virginia Beach, VA 23462-7958
Phone
(757) 305-1797
Fax
(757) 309-4715
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101238935 VA Primary

Addresses

Primary practice location

828 Healthy Way
Suite 220
Virginia Beach, VA 23462-7958

Mailing address

828 Healthy Way
Suite 220
Virginia Beach, VA 23462-7958
Phone (757) 305-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181026001917 NY Practitioner - Family Practice 2062598667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

518 E 20TH St
New York, NY 10009-8330
Phone (646) 682-3555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238935VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 5, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Sep 5, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

518 E 20th St
New York, NY 10009
Phone (646) 682-3555

150 E 42nd St
Fl 28
New York, NY 10017

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1619986262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY",
            "address_2": "SUITE 220",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627958",
            "telephone_number": "757-305-1797",
            "fax_number": "757-309-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY",
            "address_2": "SUITE 220",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627958",
            "telephone_number": "757-305-1797",
            "fax_number": "757-309-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINNANT",
        "first_name": "LEE",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101238935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.