NPIMap

Individual provider Active NPI

Alice Lee, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1710925854
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D59805 Issued in MD
Practice address
4924 Campbell Blvd
Ste 200
Baltimore, MD 21236-5908
Phone
(443) 442-2300
Fax
(443) 442-2330
NPI assigned
Jun 2, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D59805 MD Primary
Pediatrics Physician 208000000X D59805 MD

Addresses

Primary practice location

4924 Campbell Blvd
Ste 200
Baltimore, MD 21236-5908

Mailing address

3100 Wyman Park Dr
Baltimore, MD 21211-2803
Phone (443) 442-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000713 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7618958224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Georgetown University School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9910 Franklin Square Dr
Suite 2110
Baltimore, MD 21236-4902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D59805MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Mar 9, 2004 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Mar 9, 2004 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000

8820 Columbia 100 Pkwy
Ste 400
Columbia, MD 21045
Phone (410) 955-0000

195 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 695-6900

4924 Campbell Blvd
Ste 200
Nottingham, MD 21236
Phone (443) 442-2300

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500

Interoperability endpoints

  • Direct secure messaging: alee6691@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1710925854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803",
            "telephone_number": "443-442-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD",
            "address_2": "STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365908",
            "telephone_number": "443-442-2300",
            "fax_number": "443-442-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D59805",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D59805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.