Individual provider Active NPI

Steven Brent Lee, M.D.

  • Diagnostic Radiology Physician
  • Farmington, UT
National Provider Identifier
1629075684
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
344326-1205 Issued in UT
Practice address
1433 N 1075 W Ste 104
Farmington, UT 84025-2746
Phone
(801) 298-1300
Fax
(801) 296-6199
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 344326-1205 UT Primary

Addresses

Primary practice location

1433 N 1075 W Ste 104
Farmington, UT 84025-2746

Mailing address

PO Box 25488
Salt Lake City, UT 84125-0488
Phone (800) 475-3698

Other identifiers 7

IdentifierTypeStateIssuer
100505537MedicaidNV
P00199633OtherUTRR MEDICARE
P00651543OtherUTRR MEDICARE
805962400MedicaidID
120740700MedicaidWY
923608MedicaidAZ
D3747MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steven.lee1@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040228000576 UT Practitioner - Diagnostic Radiology 8820985443 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians

Practice addresses (Care Compare)

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

Hospital & facility affiliations

  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Moab Regional Hospital Hospital, Moab, UT, CCN 461302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344326-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tooele Valley Imaging, LLC CurrentSince Oct 1, 2020 Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Dec 15, 2021 Accepting new patients
Revere Health PC CurrentSince Jun 1, 2021 Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2016 Accepting new patients
Wasatch Imaging LLC CurrentSince Sep 15, 2024 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Tanner Memorial Clinic Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Revere Health PC CurrentSince Jun 1, 2021 Accepting new patients
New Schryver LLC Past Accepting new patients
Utah Imaging Centers LLC Past Accepting new patients
Wasatch Vascular Center LLC PastSince Nov 1, 2019 Accepting new patients
University Radiology Associates Diagnostic Radiology PastSince Feb 1, 1997 Accepting new patients
Scott E Southworth MD PC Past Accepting new patients
Schryver Medical Sales and Marketing LLC Past Accepting new patients

Locations

1175 E 50 S
Ste 141
American Fork, UT 84003
Phone (801) 492-5996

1433 N 1075 W
Ste 104
Farmington, UT 84025
Phone (801) 299-2200

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 112
Provo, UT 84604
Phone (801) 812-4624

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

6243 S Redwood Rd
Ste 130
Taylorsville, UT 84123
Phone (801) 288-9671

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1629075684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25488",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250488",
            "telephone_number": "800-475-3698",
            "fax_number": "801-296-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N 1075 W STE 104",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252746",
            "telephone_number": "801-298-1300",
            "fax_number": "801-296-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEVEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "344326-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505537",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00199633",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00651543",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805962400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120740700",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "923608",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3747",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.lee1@direct.imail.org",
            "affiliation": "N",
            "address_1": "1433 N 1075 W Ste 104",
            "city": "Farmington",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840252746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.