Individual provider Active NPI

Matthew C Lee, M.D., R.PH.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1780893917
Registry record updated Nov 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101239897 Issued in VA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2009

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
0202011774VAMDPharmacist
0101239897VAMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.