Individual provider Active NPI

Stephanie A Lee, MD

  • Infectious Disease Physician
  • Newark, DE
National Provider Identifier
1912068529
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C10006538 Issued in DE
Practice address
78 Omega Dr BLDG C
Newark, DE 19713-2064
Phone
(302) 368-2883
Fax
(302) 368-2892
NPI assigned
Dec 13, 2006
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X C10006538 DE Primary

Addresses

Primary practice location

78 Omega Dr BLDG C
Newark, DE 19713-2064

Mailing address

78 Omega Dr BLDG C
Newark, DE 19713-2064
Phone (302) 368-2883

Other identifiers 1

IdentifierTypeStateIssuer
1000016558MedicaidDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanielee@ida.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051028000286 DE Practitioner - Infectious Disease 0749207066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Associates PAGroup PAC ID 1052337201, 12 clinicians
Infectious Disease Consultants PAGroup PAC ID 4183615081, 9 clinicians

Practice addresses (Care Compare)

33 Omega Dr
BLDG J
Newark, DE 19713-2058
Phone (302) 368-2883

537 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2145
Phone (302) 994-9692

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates PA Infectious Disease CurrentSince Sep 1, 2005 Accepting new patients
Christiana Medical Group, PA Past Accepting new patients
Brain Spa de LLC PastSince Oct 19, 2020 Accepting new patients

Locations

33 Omega Dr
#J
Newark, DE 19713
Phone (302) 368-2883

78 Omega Dr
#C
Newark, DE 19713
Phone (302) 368-2883

78C Omega Dr
Newark, DE 19713
Phone (302) 368-2883

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1912068529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OMEGA DR BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-368-2883",
            "fax_number": "302-368-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OMEGA DR BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-368-2883",
            "fax_number": "302-368-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DE",
            "license": "C10006538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000016558",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanielee@ida.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "EHR Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Omega Dr Bldg C",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.