Individual provider Active NPI

Alfred S. Lee, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1780674549
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78944 Issued in FL
Practice address
5307 Main St
Suite 105
New Port Richey, FL 34652-2536
Phone
(727) 846-6900
Fax
(727) 846-6910
NPI assigned
Oct 24, 2005
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78944 FL Primary

Addresses

Primary practice location

5307 Main St
Suite 105
New Port Richey, FL 34652-2536

Mailing address

5307 Main St
Suite 105
New Port Richey, FL 34652-2536
Phone (727) 846-6900

Other identifiers 3

IdentifierTypeStateIssuer
47280OtherFLBLUE CROSS / BLUE SHIELD
110195754OtherFLMEDICARE RAILROAD
257605800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051205000663 FL Practitioner - Internal Medicine 1052331063 Practice locations: Trinity, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3633 Little Rd
Suite 104
Trinity, FL 34655-1815
Phone (727) 846-6900

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: alfred.lee.1@21055.direct.athenahealth.com

Hospital & facility affiliations 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1780674549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 MAIN ST",
            "address_2": "SUITE 105",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522536",
            "telephone_number": "727-846-6900",
            "fax_number": "727-846-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 MAIN ST",
            "address_2": "SUITE 105",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522536",
            "telephone_number": "727-846-6900",
            "fax_number": "727-846-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALFRED",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "47280",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110195754",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257605800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.