Individual provider Active NPI

Edward C Lee, M.D.

  • Emergency Medicine Physician
  • Cambridge, MA
National Provider Identifier
1689846578
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
234936 Issued in MA
Practice address
1493 Cambridge St
Cambridge Hospital, Emergency Dept.
Cambridge, MA 02139-1047
Phone
(617) 665-1430
NPI assigned
Mar 31, 2008
Last updated
Jan 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 234936 MA Primary

Addresses

Primary practice location

1493 Cambridge St
Cambridge Hospital, Emergency Dept.
Cambridge, MA 02139-1047

Mailing address

1493 Cambridge St
Cambridge Hospital, Emergency Dept.
Cambridge, MA 02139-1047
Phone (617) 665-1430

Other identifiers 1

IdentifierTypeStateIssuer
2151430MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080717000502 MA Practitioner - Emergency Medicine 6002989480 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234936MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Massachusetts Institute of Technology CurrentSince Dec 1, 2017 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Emergency Medicine CurrentSince Mar 18, 2021 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Aug 25, 2022 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Aug 25, 2022 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 1, 2008 Accepting new patients
Emerson Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

75 Francis St
Boston, MA 02115

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

104 Endicott St
Ste LL05
Danvers, MA 01923
Phone (978) 739-7700

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1689846578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "address_2": "CAMBRIDGE HOSPITAL, EMERGENCY DEPT.",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "address_2": "CAMBRIDGE HOSPITAL, EMERGENCY DEPT.",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDWARD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "234936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151430",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.