Michael D Lee, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0102049900 Issued in VA

Practice address

202 Duke of Gloucester St SW
Roanoke, VA 24014-1372

Phone

(540) 345-4900

Fax

(540) 345-4179

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

96.98 of 100Reported as group

Quality

93.95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Gastroenterology Consultants of

  dba Gastroenterology Consultants of Southwest Virginia

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1417993833
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1821040155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DUKE OF GLOUCESTER ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141372",
            "telephone_number": "540-345-4900",
            "fax_number": "540-345-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 DUKE OF GLOUCESTER ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141372",
            "telephone_number": "540-345-4900",
            "fax_number": "540-345-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "519",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102049900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821040155",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T00390",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Austin Lee, DMD
• Dong Kyu Lee
• Jessica Lee
• Katherine Kronmiller Lee, LPC
• Maxine M Lee, M.D.
• Philip J Lee, M.D.
• Rachel Elizabeth Lee
• Rebecca Gail Lee, LPC
• Wee Leung Lee, PH.D.
• Yaling Lee, O.D.

• Gastroenterology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.