NPIMap

Individual provider Active NPI

Frederick Bernard Lee, M.D.

  • Internal Medicine Physician
  • Monroe, LA
National Provider Identifier
1962448266
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025581 Issued in LA
Practice address
711 Wood St
Ste a
Monroe, LA 71201-7549
Phone
(318) 323-8847
Fax
(318) 327-3410
NPI assigned
Jun 22, 2006
Last updated
Dec 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025581 LA Primary

Addresses

Primary practice location

711 Wood St
Ste a
Monroe, LA 71201-7549

Mailing address

711 Wood St
Ste a
Monroe, LA 71201-7549
Phone (318) 323-8847

Other identifiers 1

IdentifierTypeStateIssuer
1043486MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040218000356 LA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 7315832441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Louisiana Kidney Specialists,LLCGroup PAC ID 5799748182, 8 clinicians

Practice addresses (Care Compare)

711 Wood St
Suite a
Monroe, LA 71201-7549

711 Wood St a
Monroe, LA 71201-7549
Phone (318) 323-8847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.98 of 100Reported as individual
Quality
69.92
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025581LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Louisiana Kidney Specialists,LLC Nephrology CurrentSince Aug 4, 2008 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

711 Wood St
Ste A
Monroe, LA 71201
Phone (318) 323-8847

Interoperability endpoints

  • Direct secure messaging: flee16338@direct.casso.us.com

Organizations & group practices 3

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 9

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1962448266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WOOD ST",
            "address_2": "STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017549",
            "telephone_number": "318-323-8847",
            "fax_number": "318-327-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WOOD ST",
            "address_2": "STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017549",
            "telephone_number": "318-323-8847",
            "fax_number": "318-327-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FREDERICK",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043486",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.