MR. GERALD K LEE M.D. PHD NPI 1184809030

NPI Information

  • NPI: 1184809030
  • Provider Name: MR. GERALD K LEE, M.D., PHD
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8551 RIXLEW LANE
    SUITE 140
    MANASSAS, VA
    ZIP 20109
  • Phone: (703) 361-4357

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NPI Details

MR. Gerald K Lee, M.D., PHD is an addiction medicine internal medicine in Manassas, VA with 30 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. MR. Gerald K Lee, M.D., PHD NPI is 1184809030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8551 RIXLEW LANE
SUITE 140
MANASSAS, VA
ZIP 20109-278
Phone: (703) 361-4357
Fax: (703) 361-0346

The NPI 1184809030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 5/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction MedicineD0054211MARYLANDNo
2208D00000XGeneral Practice0101057543VIRGINIANo
3208D00000XGeneral Practice01010575543VIRGINIANo
4208D00000XGeneral PracticeD0054211MARYLANDNo
5207RA0401XInternal MedicineAddiction Medicine0101057543VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1182042OTHERVIRGINIAANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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