Active NPI
Bobby Gene Lee, MD
- Internal Medicine Physician
- Ludington, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301082861
- Practice address
- 1 Atkinson Dr
Ludington, MI 49431-1906 - Phone
- (616) 391-3139
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301082861 | MI | Primary |
Addresses
Primary practice location
1 Atkinson Dr
Ludington, MI 49431-1906
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | blee237136@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
212 S Sullivan Ave
Corewell Health Medical Group West
Fremont, MI 49412-1548
Phone (616) 391-3139
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
5 Atkinson Dr
302 Corewell Health Medical Group West
Ludington, MI 49431-1906
Phone (616) 267-8700
Hospital & facility affiliations
- Optimal Care Hospice
- Optimal Care Hospice
- Corewell Health Ludington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082861 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Renovis Care Company | Internal Medicine | Current | Accepting new patients |
| K & M Medical & Catastrophic Management, LLC | Internal Medicine | Current | Accepting new patients |
| Memorial Medical Center of West Michigan | Past | Accepting new patients |
Locations
750 Fuller Ave NE
#C
Grand Rapids, MI 49503
Phone (616) 486-3042
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
26677 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 234-4816
3005 E 11 Mile Rd
Ste C
Warren, MI 48092
Phone (586) 580-7690
Interoperability endpoints
- blee237136@epic00.corewelldirect.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Optimal Care Hospice | Hospice | Contracted Managing Employee | Dec 21, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Jackson, MI
- NPI 1740753326
Contracted Managing Employee
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Internal Medicine Physician
- Warren, MI
- NPI 1427669969
-
- Internal Medicine Physician
- Canton, MI
- NPI 1285183103
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1528750130
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Jackson, MI
- NPI 1740753326
-
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1376200121
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1891767489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATKINSON DR",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311906",
"telephone_number": "616-391-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BOBBY",
"middle_name": "GENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301082861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blee237136@epic00.shdirect.org",
"affiliation": "N",
"address_1": "7430 2nd Ave",
"address_2": "Suite 210",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "7430 2nd Ave",
"address_2": "Suite 210",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.