Active NPI
Matthew C Lee, M.D., R.PH.
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1780893917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101239897
- Practice address
- 1617 Monument Ave Ste 302
Richmond, VA 23220-2943 - Phone
- (804) 358-1492
- Fax
- (804) 358-1941
- NPI assigned
- May 22, 2007
- Last updated
- Nov 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011774 | VA | |
| Family Medicine Physician | 207Q00000X | 0101239897 | VA | |
| General Practice Physician | 208D00000X | 0101239897 | VA | |
| Clinical Pharmacology Physician | 208U00000X | 0101239897 | VA | |
| Internal Medicine Physician | 207R00000X | 0101239897 | VA | Primary |
| Occupational Medicine Physician | 2083X0100X | 0101239897 | VA |
Addresses
Primary practice location
1617 Monument Ave Ste 302
Richmond, VA 23220-2943
Mailing address
721 S Pine St
Richmond, VA 23220-6518
Phone (804) 648-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011774 | VA | MD | Pharmacist |
| 0101239897 | VA | MD | Clinical Pharmacology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Zelda West Johnson & Associates | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Richmond, VA
- NPI 1568699429
-
- Primary Care Clinic/Center
- Richmond, VA
- NPI 1255515474
-
- Primary Care Clinic/Center
- Richmond, VA
- NPI 1679628499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259452800000",
"number": "1780893917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S PINE ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232206518",
"telephone_number": "804-648-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 MONUMENT AVE STE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232202943",
"telephone_number": "804-358-1492",
"fax_number": "804-358-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D., R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2009-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011774",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101239897",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101239897",
"primary": false
},
{
"code": "208U00000X",
"taxonomy_group": "",
"desc": "Clinical Pharmacology",
"state": "VA",
"license": "0101239897",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101239897",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "VA",
"license": "0101239897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.