Active NPI
Nadine D Lee, MD, PHD
- Pediatric Hematology & Oncology Physician
- Indianapolis, IN
National Provider Identifier
1932202884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 01050126
- Practice address
- 705 Riley Hospital Dr
Roc 4340
Indianapolis, IN 46202-5109 - Phone
- (317) 944-5611
- Fax
- (317) 944-3107
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 01050126 | IN | Primary |
Addresses
Primary practice location
705 Riley Hospital Dr
Roc 4340
Indianapolis, IN 46202-5109
Mailing address
PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 274-1201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932202884 | Medicaid | AL | |
| 1932202884 | Medicaid | MI | |
| 200212210 | Medicaid | IN |
Other names 1
- Deannie Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050126 | IN | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1932202884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061026",
"telephone_number": "317-274-1201",
"fax_number": "317-278-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR",
"address_2": "ROC 4340",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-944-5611",
"fax_number": "317-944-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NADINE",
"middle_name": "D",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IN",
"license": "01050126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932202884",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932202884",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200212210",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNIE",
"last_name": "LEE",
"credential": "MD, PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.