NPIMap

Lee Andrew Learman, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Roanoke, VA

NPI 1790739258 · NPPES record last updated Jan 28, 2021

Key facts

NPI
1790739258
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
0101267494 (VA)
Practice address
902 S Jefferson St
Roanoke, VA 24016-4404
Phone
(540) 985-9862
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical Center (956 clinicians)

Practice addresses (Care Compare)

902 S Jefferson St
Roanoke, VA 24016-4404
Phone (540) 985-8230

Hospital & facility affiliations

  • Carilion Medical Center Hospital · Roanoke, VA · CCN 490024

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carilion Roanoke Community Hospital
Roanoke, VA · CCN 49S024		 Hospital Corporate Officer Oct 1, 2021
Carilion Roanoke Community Hospital
Roanoke, VA · CCN 49T024		 Hospital Corporate Officer Oct 1, 2021
Carilion Medical Center Home Health
Roanoke, VA · CCN 497258		 Home health agency Corporate Officer Oct 1, 2023
Carilion Hospice Services of Roanoke
Roanoke, VA · CCN 491515		 Hospice Corporate Director Oct 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200317002445 VA Practitioner - Obstetrics/Gynecology 8022192913 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125579FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center Current
since Feb 3, 2020		 Accepting new patients
Carilion Medical Center Current
since Feb 3, 2020		 Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

902 S Jefferson St
Roanoke, VA 24016
Phone (540) 985-8230

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

Interoperability endpoints

  • Direct secure messaging: llearman@sapbc.gwaydirect.com
  • Direct secure messaging: llearman124268@direct.carilionclinic.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01065484A IN
Obstetrics & Gynecology Physician 207V00000X G71945 CA
Obstetrics & Gynecology Physician 207V00000X 0101267494 VA Yes

Addresses

Primary practice location

902 S Jefferson St
Roanoke, VA 24016-4404

Mailing address

902 S Jefferson St
Roanoke, VA 24016-4404
Phone (540) 985-9862

Other identifiers

IdentifierTypeStateIssuer
200924650MedicaidIN
00G719450MedicaidCA

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address llearman124268@direct.carilionclinic.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 28, 2021.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1790739258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164404",
            "telephone_number": "540-985-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164404",
            "telephone_number": "540-985-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARMAN",
        "first_name": "LEE",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01065484A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G71945",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101267494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200924650",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G719450",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llearman124268@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "llearman124268@direct.carilionclinic.org",
            "address_1": "902 S Jefferson St",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240164404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

All providers in Roanoke, VA · Obstetrics & Gynecology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.