NPIMap

Individual provider Active NPI

Michele Yeeting Lee, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Boulder, CO
National Provider Identifier
1922015973
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
DR-47318 Issued in CO
Practice address
350 Ponca PL
Suite 250
Boulder, CO 80303-3828
Phone
(303) 938-1110
Fax
(303) 938-1145
NPI assigned
Aug 2, 2006
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 99-243 NM
Geriatric Medicine (Family Medicine) Physician 207QG0300X DR-47318 CO Primary

Addresses

Primary practice location

350 Ponca PL
Suite 250
Boulder, CO 80303-3828

Mailing address

350 Ponca PL
Suite 250
Boulder, CO 80303-3828
Phone (303) 938-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090406000478 CO Practitioner - Geriatric MedicinePractitioner - Family Practice 5395796478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Wisdom Health PCGroup PAC ID 4284762501, 11 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

350 Ponca PL
Suite 250
Boulder, CO 80303-3828
Phone (303) 938-1110

8601 Turnpike Dr
Westminster, CO 80031-7043
Phone (303) 222-4312

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-47318COMDGeriatric Medicine (Family Medicine) Physician
99-243NMMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado, PC Past Accepting new patients
Senior Care of Colorado, PC Geriatric Medicine PastSince Sep 1, 2010 Accepting new patients
Inpatient Consultants of Colorado PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michele.lee@96713091579908.direct.elationemr.com

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

Hospital & facility affiliations 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1922015973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PONCA PL",
            "address_2": "SUITE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033828",
            "telephone_number": "303-938-1110",
            "fax_number": "303-938-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PONCA PL",
            "address_2": "SUITE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033828",
            "telephone_number": "303-938-1110",
            "fax_number": "303-938-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHELE",
        "middle_name": "YEETING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "99-243",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "DR-47318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.