Active NPI
Benjamin Lee, MD
- Pain Medicine (Anesthesiology) Physician
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- D0057974
- Practice address
- 2012 S. Tollgate Rd
Suite 102
Bel Air, MD 21015-5901 - Phone
- (443) 490-4000
- Fax
- (443) 484-2831
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | D0057974 | MD | Primary |
Addresses
Primary practice location
2012 S. Tollgate Rd
Suite 102
Bel Air, MD 21015-5901
Mailing address
PO Box 997
Bel Air, MD 21014-0997
Phone (443) 490-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003003100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- University of Alabama School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Forest Hill, MD 21050-1758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Community Hospital, Inc. | Past | Accepting new patients | |
| Centra Health Inc | Past | Accepting new patients | |
| MDP Surgery Center | Past | Accepting new patients | |
| Atlantic General Hospital Corporation | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Edgewood, MD
- NPI 1316504301
-
- Physician Assistant
- Olney, MD
- NPI 1356611529
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 and National Provider Directory roles.
-
- Pain Clinic/Center
- Elkton, MD
- NPI 1144608514
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
dba Atlantic General Health System
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
-
- General Acute Care Hospital
- Lynchburg, VA
- NPI 1770693939
-
dba Centra Southside Community Hospital
- General Acute Care Hospital
- Farmville, VA
- NPI 1518952761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1982692471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210140997",
"telephone_number": "443-490-4000",
"fax_number": "443-484-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 S. TOLLGATE RD",
"address_2": "SUITE 102",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155901",
"telephone_number": "443-490-4000",
"fax_number": "443-484-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MD",
"license": "D0057974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003003100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.