Individual provider Active NPI

Lee Cecil Raley, M.D.

  • Colon & Rectal Surgery Physician
  • Little Rock, AR
National Provider Identifier
1730297979
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
E-4941 Issued in AR
Practice address
701 N University Ave
Suite 203
Little Rock, AR 72205-2936
Phone
(501) 664-2434
Fax
(501) 907-7768
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X E-4941 AR Primary

Addresses

Primary practice location

701 N University Ave
Suite 203
Little Rock, AR 72205-2936

Mailing address

701 N University Ave
Suite 203
Little Rock, AR 72205-2936
Phone (501) 664-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20061127000148 AR Practitioner - Colorectal Surgery (Proctology) 3870591092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

701 N University Ave
Suite 203
Little Rock, AR 72205-2936
Phone (501) 664-2434

Hospital & facility affiliations

  • Commonspirit Health Home health agency, Little Rock, AR, CCN 047001
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy112
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Sep 5, 2006 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients

Locations

701 N University Ave
Ste 203
Little Rock, AR 72205
Phone (501) 664-2434

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

5 Saint Vincent Cir
Ste 220
Little Rock, AR 72205
Phone (501) 296-9100

Interoperability endpoints

  • Direct secure messaging: lraley458062@direct.stlukeshealth.org
  • Direct secure messaging: lee.raley@svmgs.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1730297979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N UNIVERSITY AVE",
            "address_2": "SUITE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052936",
            "telephone_number": "501-664-2434",
            "fax_number": "501-907-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N UNIVERSITY AVE",
            "address_2": "SUITE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052936",
            "telephone_number": "501-664-2434",
            "fax_number": "501-907-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "LEE",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AR",
            "license": "E-4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.