Alfred Lee, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101033290 Issued in VA

Practice address

16011 Kairos Rd
Ste 300
South Chesterfield, VA 23834-5207

Phone

(804) 520-5223

NPI assigned

Aug 9, 2005

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: alee@directaddress.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1689675837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364521",
            "telephone_number": "804-330-4901",
            "fax_number": "804-330-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16011 KAIROS RD",
            "address_2": "STE 300",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345207",
            "telephone_number": "804-520-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101033290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6043011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khalia Ahqueen Johnson
• Jewell Kearney, NA
• Zachary Ketcham
• Li Pan King
• Roy Knight, TRANSPORTATION
• Loving Legacy Home Health Care Services LLC
• Melissa Macminn, NP
• Ciara Macmullen, RBT
• Anthony David Mangiafico, PHD, CNS
• Faraz Masood, MD

• Gastroenterology Physician in South Chesterfield, VA
• Providers in South Chesterfield, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.