Active NPI
Rebecca Lee, M.D.
- Pediatrics Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101274758
- Practice address
- 2000 Professional CT Ste C
Martinsburg, WV 25401-8803 - Phone
- (304) 263-8853
- Fax
- (304) 263-6178
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28864 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 0101274758 | VA | Primary |
Addresses
Primary practice location
2000 Professional CT Ste C
Martinsburg, WV 25401-8803
Mailing address
2000 Professional CT Ste C
Martinsburg, WV 25401-8803
Phone (304) 263-8853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101274758 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Physicians, Inc. | Single Specialty | Current | Accepting new patients |
| University Healthcare Physicians Inc | Single Specialty | Current | Accepting new patients |
| Trusted Doctors LLC | Single Specialty | Past | Accepting new patients |
| SSM Medical Group Inc. | Past | Accepting new patients |
Locations
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343
2000 Professional Ct
Ste C
Martinsburg, WV 25401
Phone (304) 263-8853
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.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
Single Specialty
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1902268477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PROFESSIONAL CT STE C",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018803",
"telephone_number": "304-263-8853",
"fax_number": "304-263-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PROFESSIONAL CT STE C",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254018803",
"telephone_number": "304-263-8853",
"fax_number": "304-263-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "REBECCA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "28864",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "VA",
"license": "0101274758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.