Individual provider Active NPI

Andy C Lee, MD

  • Family Medicine Physician
  • Johnstown, OH
National Provider Identifier
1750349296
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35058967L Issued in OH
Practice address
669 W Coschocton Ave
Johnstown, OH 43031-9580
Phone
(614) 627-2610
Fax
(614) 627-2614
NPI assigned
May 3, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35058967L OH Primary

Addresses

Primary practice location

669 W Coschocton Ave
Johnstown, OH 43031-9580

Mailing address

669 W Coschocton Ave
Johnstown, OH 43031-9580
Phone (614) 627-2610

Other identifiers 1

IdentifierTypeStateIssuer
0828091MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050728000929 OH Practitioner - Family Practice 2062440316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Toledo Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

669 W Coshocton St
Johnstown, OH 43031-9580
Phone (614) 627-2610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058967LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Jan 11, 2026 Accepting new patients
American Health Network of Ohio, LLC Family Medicine Current Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jan 1, 2024 Accepting new patients
American Health Network of Ohio, LLC Family Medicine Current Accepting new patients
American Health Network of Ohio, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Jan 11, 2026 Accepting new patients

Locations

3180 E Broad St
Columbus, OH 43209
Phone (614) 231-2729

550 W Central Ave
Delaware, OH 43015
Phone (740) 363-1904

122 Columbus Rd
Fredericktown, OH 43019
Phone (740) 694-1261

669 W Coshocton St
Johnstown, OH 43031
Phone (614) 627-1620

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

10330 Sawmill Pkwy
Ste 300
Powell, OH 43065
Phone (614) 234-0600

85 Commerce Park Dr
Westerville, OH 43082
Phone (614) 882-2397

Interoperability endpoints

  • Direct secure messaging: alee211027@direct.optum.com

Organizations & group practices 6

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 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1750349296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 W COSCHOCTON AVE",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319580",
            "telephone_number": "614-627-2610",
            "fax_number": "614-627-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 W COSCHOCTON AVE",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319580",
            "telephone_number": "614-627-2610",
            "fax_number": "614-627-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35058967L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0828091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, OH

Sources for this page

Verify at the official NPI Registry.