Individual provider Active NPI

Robert William Lees

  • Physician Assistant
  • Adams Center, NY
National Provider Identifier
1952997256
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027959 Issued in NY
Practice address
18043 Goodnough St
Adams Center, NY 13606-2217
Phone
(315) 408-2456
NPI assigned
Dec 21, 2020
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 027959 NY Primary

Addresses

Primary practice location

18043 Goodnough St
Adams Center, NY 13606-2217

Mailing address

PO Box 641
Adams Center, NY 13606-0641
Phone (315) 408-2456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314000173 NY Practitioner - Physician Assistant 1355736224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watertown Urgent Care PLLCGroup PAC ID 3971691700, 10 clinicians

Practice addresses (Care Compare)

457 Gaffney Dr
Watertown, MA 13601-1834

4587 Gaffney Dr
Watertown, NY 13601-1834

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027959NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical of Watertown Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rlees@wuc.medentdirect.com

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 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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1952997256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641",
            "city": "ADAMS CENTER",
            "state": "NY",
            "postal_code": "136060641",
            "telephone_number": "315-408-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18043 GOODNOUGH ST",
            "city": "ADAMS CENTER",
            "state": "NY",
            "postal_code": "136062217",
            "telephone_number": "315-408-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEES",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adams Center, NY

Sources for this page

Verify at the official NPI Registry.