NPIMap

Individual provider Active NPI

Marlon Adrian Lee, M.D.

  • Vascular Surgery Physician
  • Plymouth, MN
National Provider Identifier
1861637522
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
106921 Issued in MN
Practice address
2955 Xenium LN N
Suite 40
Plymouth, MN 55441-2666
Phone
(763) 398-2203
NPI assigned
Dec 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 106921 MN Primary

Addresses

Primary practice location

2955 Xenium LN N
Suite 40
Plymouth, MN 55441-2666

Mailing address

2955 Xenium LN N
Suite 40
Plymouth, MN 55441-2666
Phone (763) 398-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000345 MN Practitioner - Vascular Surgery 6709027576 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Miami, LM Miller School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians

Practice addresses (Care Compare)

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000

600 County Rd D W
New Brighton, MN 55112-3519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106921MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 1, 2013 Accepting new patients
Allina Health System Current Accepting new patients
North Memorial Health Care CurrentSince Jan 1, 2014 Accepting new patients
Allina Health System CurrentSince Jul 1, 2013 Accepting new patients
North Memorial Health Care CurrentSince Jan 1, 2014 Accepting new patients
West Imaging, LLC CurrentSince May 21, 2020 Accepting new patients
North Memorial Health Care Current Accepting new patients
Minneapolis Radiology Associates, LTD. CurrentSince Jul 1, 2013 Accepting new patients
Allina Health System Past Accepting new patients

Locations

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

4040 Coon Rapids Blvd NW
Ste 120
Minneapolis, MN 55433
Phone (763) 427-9980

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2955 Xenium Ln N
Ste 40
Plymouth, MN 55441
Phone (763) 398-2203

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

Interoperability endpoints

  • Direct secure messaging: mlee207082@excellian.direct.allina.com

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1861637522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 XENIUM LN N",
            "address_2": "SUITE 40",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412666",
            "telephone_number": "763-398-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 XENIUM LN N",
            "address_2": "SUITE 40",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412666",
            "telephone_number": "763-398-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARLON",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MN",
            "license": "106921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.