Individual provider Active NPI

Ronald J Lee, MD

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1952332587
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33063 Issued in AZ
Practice address
2680 S Val Vista Dr Ste 114
Gilbert, AZ 85295-1606
Phone
(480) 722-0252
Fax
(480) 722-0253
NPI assigned
Jul 5, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33063 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr Ste 114
Gilbert, AZ 85295-1606

Mailing address

2680 S Val Vista Dr Ste 114
Gilbert, AZ 85295-1606
Phone (480) 722-0252

Other identifiers 1

IdentifierTypeStateIssuer
974271MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20061017000241 AZ Practitioner - Family Practice 3274539143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2680 S Val Vista Dr
Suite 114
Gilbert, AZ 85295-1606
Phone (480) 722-0252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as individual
Quality
98.92
Promoting interoperability
100
Improvement activities
40
Cost
67.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33063AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Tan Family Medicine PC Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Arizona Heart Specialists PLLC PastSince Aug 1, 2006 Accepting new patients

Locations

2680 S Val Vista Dr
Ste 114
Gilbert, AZ 85295
Phone (480) 722-0252

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBJBA/Endpoint/ICBJBA

Organizations & group practices 2

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 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1952332587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606",
            "telephone_number": "480-722-0252",
            "fax_number": "480-722-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951606",
            "telephone_number": "480-722-0252",
            "fax_number": "480-722-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974271",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.