Individual provider Active NPI

Mai Huong Lee, M.D.

  • Internal Medicine Physician
  • Westminster, CO
National Provider Identifier
1710069422
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36994 Issued in CO
Practice address
8300 Alcott St
Suite 302
Westminster, CO 80031-4008
Phone
(303) 428-0533
Fax
(303) 428-2544
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36994 CO Primary

Addresses

Primary practice location

8300 Alcott St
Suite 302
Westminster, CO 80031-4008

Mailing address

8300 Alcott St
Suite 302
Westminster, CO 80031-4008
Phone (303) 428-0533

Other identifiers 4

IdentifierTypeStateIssuer
1710069422OtherNPI
841365302047OtherRKY MTN HMO PROVIDER NUMBER
841365302DYOtherPACIFICARE PROVIDER NUMBER
01369941MedicaidCO

Other names 1

  • Mai Huong Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050110000815 CO Practitioner - Internal Medicine 4587612205 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36994COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 27, 2015 Accepting new patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Long Term Care and Rehab Consultants CurrentSince Feb 12, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 27, 2015 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Feb 16, 2020 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Feb 16, 2020 Accepting new patients
Belmat Medical and Accupuncture Center Internal Medicine PastSince Nov 1, 2005 Accepting new patients
New West Physicians Inc Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients
Todd Dextradeur MD PC Internal Medicine PastSince Sep 1, 2020 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients

Locations

12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

12790 W Alameda Pkwy
Ste A
Lakewood, CO 80228
Phone (303) 403-6350

7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1710069422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ALCOTT ST",
            "address_2": "SUITE 302",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314008",
            "telephone_number": "303-428-0533",
            "fax_number": "303-428-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 ALCOTT ST",
            "address_2": "SUITE 302",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314008",
            "telephone_number": "303-428-0533",
            "fax_number": "303-428-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MAI",
        "middle_name": "HUONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710069422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RKY MTN HMO PROVIDER NUMBER",
            "identifier": "841365302047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PROVIDER NUMBER",
            "identifier": "841365302DY",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369941",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAI",
            "last_name": "NGUYEN",
            "middle_name": "HUONG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.