Individual provider Active NPI

Diane D Lee, M.D.

  • Neurology Physician
  • Albany, CA
National Provider Identifier
1861508335
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A78611 Issued in CA
Practice address
400 Evelyn Ave Ste 224
Albany, CA 94706
Phone
(510) 526-0888
Fax
(510) 526-0886
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A78611 CA Primary

Addresses

Primary practice location

400 Evelyn Ave Ste 224
Albany, CA 94706

Mailing address

400 Evelyn Ave Ste 224
Albany, CA 94706
Phone (510) 526-0888

Other names 1

  • Di Li Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050421000782 CA Practitioner - Neurology 7012955958 Practice locations: Albany, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Evelyn Ave
Suite 224
Albany, CA 94706-1375
Phone (510) 526-0888

Hospital & facility affiliations

  • Asian Network Pacific Home Care, Inc Home health agency, Oakland, CA, CCN 557747
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alameda Hospital Hospital, Alameda, CA, CCN 050211

Merit-based Incentive Payment System (MIPS)

Final score
27.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78611CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter East Bay Medical Foundation Neurology Past Accepting new patients
South Jersey Neurocare PA Neurology Past Accepting new patients
California Pacific Medical Group, Inc. PastSince Dec 10, 2023 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1861508335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE STE 224",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "94706",
            "telephone_number": "510-526-0888",
            "fax_number": "510-526-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE STE 224",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "94706",
            "telephone_number": "510-526-0888",
            "fax_number": "510-526-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DIANE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A78611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DI",
            "last_name": "LI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.