Individual provider Active NPI

Samuel Lee, MD

  • Infectious Disease Physician
  • Reno, NV
National Provider Identifier
1669589735
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25125 Issued in NV
Practice address
6130 Plumas St
Reno, NV 89519-6060
Phone
(775) 982-1000
Fax
(775) 982-8041
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25125 NV Primary

Addresses

Primary practice location

6130 Plumas St
Reno, NV 89519-6060

Mailing address

1155 Mill St
Ms M-14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

1500 E 2nd St Ste 100
Reno, NV 89502-1189
Phone (775) 982-3866

Other identifiers 2

IdentifierTypeStateIssuer
1669589735MedicaidNV
172732301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090512000499 NM Practitioner - Infectious DiseasePractitioner - Internal Medicine 1557316056 Reassigns benefits to 1 organization
I20240412000987 NV Practitioner - Infectious DiseasePractitioner - Internal Medicine 1557316056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25125NVMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Health Management Company CurrentSince Nov 28, 2024 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Apr 5, 2024 Accepting new patients
Hometown Health Management Company CurrentSince Nov 28, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Apr 24, 2009 Accepting new patients
Community Care Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Renown Medical School Associates North, Inc. Current Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Apr 5, 2024 Accepting new patients
Community Care Services LLC Infectious Disease Current Accepting new patients
Community Care Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Unm Medical Group, Inc. CurrentSince Apr 24, 2009 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

1500 E 2nd St
Ste 100
Reno, NV 89502
Phone (775) 982-5003

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

6130 Plumas St
Reno, NV 89519
Phone (775) 329-0222

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

Interoperability endpoints

  • Direct secure messaging: slee203526@direct.renown.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1669589735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "address_2": "MS M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196060",
            "telephone_number": "775-982-1000",
            "fax_number": "775-982-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E 2nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021189",
            "country_code": "US",
            "telephone_number": "775-982-3866",
            "fax_number": "775-982-3868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "25125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669589735",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172732301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.