Delores Johanne Lee, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-1991 Issued in GU

Practice address

655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544

Phone

(671) 633-4447

NPI assigned

Apr 18, 2013

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

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

Specialty

Family Practice

Education

University of Hawaii John a. Burns School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Todu Guam Foundation LTD

  • Family Medicine Physician
  • Tamuning, GU
  • NPI 1063150530
  Medicare reassignment NPD
• Evergreen Health Center LLC

  • Primary Care Clinic/Center
  • Maite, GU
  • NPI 1356839575
  Medicare reassignment

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1760826937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX CU",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969327623",
            "telephone_number": "671-483-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 HARMON LOOP RD STE 108",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296544",
            "telephone_number": "671-633-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DELORES",
        "middle_name": "JOHANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "M-1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heesoo Ko, DMD
• Andrea Leanne Araullo Kono, PA-C
• Katherine Erin Kruger, NP
• Samuel Scott Larkin
• Scott Robert Larkin, D.C.
• Lawrence Lee, D.O.
• Geneva Lyn Sevilleno Lei
• Lena Leishman, NP-C, RN, BSN
• Andrea Marie Leitheiser, MA, PHD
• Nancy Lentz, M.D.

• Family Medicine Physician in Dededo, GU
• Providers in Dededo, GU by specialty
• Family Medicine Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.

Verify at the official NPI Registry.