Organization Active NPI

Richard G. Lee, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
National Provider Identifier
1902097074
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103001022 Issued in VA
Legal business name
RICHARD G. LEE, DPM PC
Practice address
2843 Duke St
Alexandria, VA 22314-4512
Phone
(703) 823-2357
Fax
(703) 823-1572
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Richard G. Lee, DPMNPI 1134206667
Title
President
Phone
(703) 823-2357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 0103001022 VA Primary

Addresses

Primary practice location

2843 Duke St
Alexandria, VA 22314-4512

Mailing address

2843 Duke St
Alexandria, VA 22314-4512
Phone (703) 823-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041108000840 DC Part B Supplier - Clinic/Group Practice 5698743201 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, VA
O20100930040739 VA DME Supplier - Physician - PodiatryDME Supplier - Medical Supply Company With Orthotic Personnel 5698743201 Practice locations: Alexandria, VA
O20161227000022 VA Part B Supplier - Clinic/Group Practice 5698743201 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Richard G Lee DPM PC2843 Duke St, Alexandria, VA 22314-4512(703) 823-2357 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2843 Duke St
Alexandria, VA 22314
Phone 70382322357

2849 Duke St
Alexandria, VA 22314
Phone (703) 751-4040

21495 Ridgetop Cir
Ste 106
Sterling, VA 20166
Phone (703) 406-8686

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1902097074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144512",
            "telephone_number": "703-823-2357",
            "fax_number": "703-823-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144512",
            "telephone_number": "703-823-2357",
            "fax_number": "703-823-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G. LEE, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-823-2357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.