DR. EDWARD I LEE MD
NPI 1568452258
Pediatrics - Neonatal-Perinatal Medicine in Winchester, VA

NPI Status: Active since October 25, 2005

Contact Information

1840 AMHERST ST
STE 4C
WINCHESTER, VA
ZIP 22601
Phone: (540) 536-7897
Fax: (540) 536-7843

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About EDWARD LEE

This page provides the complete NPI Profile along with additional information for Edward Lee, a pediatrician established in Winchester, Virginia with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1568452258 assigned on October 2005. The practitioner's primary taxonomy code is 2080N0001X with license number 0101057733 (VA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1568452258
Provider Name
DR. EDWARD I LEE MD
Gender
Male
Entity Type
Individual
Location Address
1840 AMHERST ST STE 4C WINCHESTER, VA 22601
Location Phone
(540) 536-7897
Location Fax
(540) 536-7843
Mailing Address
PO BOX 1910 WINCHESTER, VA 22604
Mailing Phone
(866) 878-4221
Mailing Fax
(540) 536-7843
Is Sole Proprietor?
No
Enumeration Date
10-25-2005
Last Update Date
03-29-2021
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A pediatrician like Edward Lee is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
0101057733
License State
VA
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs - HMO
  • Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1881956MEDICAID (05)PA 
006726828MEDICAID (05)VA 
204887OTHER (01)VAANTHEM
200480770MEDICAID (05)IN 
400188500MEDICAID (05)MD 
0111639000MEDICAID (05)WV 

Medicare Participation & PECOS Enrollment Status

Edward Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. EDWARD I LEE MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568452258
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128854210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 5 + 4 + 2 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1568452258 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306831342DR. STEPHEN CYRIL BRAWERMAN MD
Individual
Radiology (Diagnostic Radiology)1840 AMHERST ST
WINCHESTER, VA 22601
(540) 662-4071
1609864206DR. MARGARET D TOXOPEUS MD
Individual
Radiology (Diagnostic Radiology)1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8750
1942299714 STUART A MONROE M.D.
Individual
Pathology (Blood Banking & Transfusion Medicine)1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8790
1013906874 ROBERT C. DILLINGHAM M.D.
Individual
Pathology (Blood Banking & Transfusion Medicine)1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8790
1447249057 CATHERINE L MATHIEU M.D.
Individual
Pathology (Blood Banking & Transfusion Medicine)1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8790
1114917895DR. TERESA L CLAWSON MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)1840 AMHERST ST STE 4C
WINCHESTER, VA 22601
(540) 536-7897
1376533810NEONATOLOGY CENTER OF WINCHESTER
Organization
Pediatrics (Neonatal-Perinatal Medicine)1840 AMHERST ST SUITE 4C
WINCHESTER, VA 22601
(540) 536-7897
1851373682 GARY J HARASINK CRNA
Individual
Nurse Anesthetist, Certified Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1154306918 SOON N WHANG M.D.
Individual
Nurse Anesthetist, Certified Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1992782445 RICHARD A CREASY MD
Individual
Anesthesiology1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1093793382 JOHN E DAVIS III MD
Individual
Anesthesiology1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1487627402 HARRY E POLING MD
Individual
Anesthesiology1840 AMHERST ST WINCHESTER MEDICAL CENTER
WINCHESTER, VA 22601
(540) 536-8000
1609845635 EMILY K BURNETT CRNA
Individual
Nurse Anesthetist, Certified Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1063481984 MARLENE M KOLSTAD RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1366411167 SARA J KUYKENDALL RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1417926312 JANE M O'DOHERTY RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1053380956 BARBARA A JACKSON RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1689643587 JANA A HOVLAND RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1295704096 RUTH E ARCURI-KOVACS RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000
1912976499 ROBIN B THOMPSON RD
Individual
Dietitian, Registered1840 AMHERST ST
WINCHESTER, VA 22601
(540) 536-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568452258, enumerated in the NPI registry as an "individual" on October 25, 2005

The provider is located at 1840 Amherst St Ste 4c Winchester, Va 22601 and the phone number is (540) 536-7897

The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine

The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on October 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.