Active NPI
John Lee, M.D.
- Vascular & Interventional Radiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD17642
- Practice address
- 593 Eddy Street
Department of Radiology
Providence, RI 02903 - Phone
- (919) 610-9448
- NPI assigned
- Jun 20, 2016
- Last updated
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MD17642 | RI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD17642 | RI | |
| Diagnostic Radiology Physician | 2085R0202X | 270807 | MA |
Addresses
Primary practice location
593 Eddy Street
Department of Radiology
Providence, RI 02903
Mailing address
593 Eddy St Dept of
Providence, RI 02903-4923
Phone (919) 610-9448
Other practice location 1
211 Park St
Attleboro, MA 02703-3137
Phone (508) 222-5200
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (017) 377-0104
Other practice location 3
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 921-9202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD17642 | Other | RI | RI LICENSE |
| 291819 | Other | MA | MA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rhode Island Medical Imaging Inc
Practice addresses (Care Compare)
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
Hospital & facility affiliations
- Rhode Island Hospital
- The Miriam Hospital
- Newport Hospital
- Roger Williams Medical Center
- Kent County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 82.44
- Improvement activities
- 40
- Cost
- 86.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17642 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
dba Roger Williams Medical Center
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1740630995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST DEPT OF",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "919-610-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "919-610-9448"
}
],
"practiceLocations": [
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033137",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "017-377-0104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Metro Center Blvd Ste 2000",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861785",
"country_code": "US",
"telephone_number": "401-921-9202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "RI",
"license": "MD17642",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD17642",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "270807",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI LICENSE",
"identifier": "MD17642",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE",
"identifier": "291819",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.