Kevin Michael Lee, M.D.
Individual provider Active NPI Nephrology Physician · Cary, NC
NPI 1669407706 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1669407706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 200300642 (NC)
- Practice address
- 790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678 - Phone
- (919) 231-3966
- Fax
- (919) 231-3912
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina Nephrology PA
Practice addresses (Care Compare)
790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678
Phone (919) 235-0644
Hospital & facility affiliations
- FMC Fuquay Varina Kidney Center
- Fresenius Medical Care Angier Dialysis
- Rex Hospital
- Wakemed, Cary Hospital
- Wakemed, Raleigh Campus
- Johnston Health
- Duke University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061117000249 | NC | Practitioner - Internal Medicine |
6002814548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Nephrology PA | Nephrology | Current |
Accepting new patients |
| North Carolina Nephrology PA | Nephrology | Current |
Accepting new patients |
| Wake Nephrology Associates, P.a. | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Locations
790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644
916 S Main St
Ste 240
Fuquay Varina, NC 27526
Phone (919) 235-0644
3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244
3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409
2824 Rogers Rd
Ste 104
Wake Forest, NC 27587
Interoperability endpoints
- kevin.lee.1@18383.direct.athenahealth.com
- klee11213@direct.unc.nchie.net
- klee24281@direct.acumenmd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 200300642 | NC | Yes |
Addresses
Primary practice location
790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678
Mailing address
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7213
Phone (919) 231-3966
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncnephrologyassociates@directaddress.net |
NPI Registry JSON
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1669407706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 BARRETT DR STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097213",
"telephone_number": "919-231-3966",
"fax_number": "919-231-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 SE CARY PKWY",
"address_2": "SUITE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275115678",
"telephone_number": "919-231-3966",
"fax_number": "919-231-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "200300642",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncnephrologyassociates@directaddress.net",
"affiliation": "N",
"address_1": "790 SE Cary Pkwy",
"address_2": "Suite 101",
"city": "Cary",
"state": "NC",
"country_code": "US",
"postal_code": "275115678",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cary, NC
- Haejin Lee
- Hyelim Lee
- Jae Seong Lee
- Jin Lee
- Jordan Garrett Lee
- Lauren Alexis Lee
- Margret Gardner Lee
- Marisa Lee
- Melanie Myers Lee
- Melissa Lee
All providers in Cary, NC · Nephrology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.