Individual provider Active NPI

Anthony Lee, MD

  • Neurology Physician
  • Kalamazoo, MI
National Provider Identifier
1801060397
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301100465 Issued in MI
Practice address
1541 Gull Rd
Ste 100
Kalamazoo, MI 49048-1644
Phone
(269) 381-7380
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036128448 IL
Neurology Physician 2084N0400X 4301100465 MI Primary

Addresses

Primary practice location

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048-1644

Mailing address

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (269) 552-2836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120823000912 MI Practitioner - Neurology 7416104583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1541 Gull Rd
Suite 100
Kalamazoo, MI 49048-1645
Phone (269) 226-5290

3035 Capital Ave SW
Battle Creek, MI 49015-4334

360 E Chicago St
Coldwater, MI 49036-2086

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128448ILMDNeurology Physician
4301100465MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Aug 1, 2012 Accepting new patients
Promed Healthcare CurrentSince Aug 1, 2012 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Ascension Borgess Hospital CurrentSince Aug 1, 2012 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Medical Group Promed CurrentSince Aug 1, 2012 Accepting new patients

Locations

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

215 E Mansion St
Ste 1H
Marshall, MI 49068
Phone (269) 789-0025

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Organizations & group practices 6

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 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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1801060397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016",
            "telephone_number": "269-552-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 GULL RD",
            "address_2": "STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481644",
            "telephone_number": "269-381-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036128448",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301100465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.