Individual provider

Lee Self, MD

Obstetrics & Gynecology Physician Obstetrics Physician Gynecology Physician Medicare enrolled

Lee Self, MD is a Gynecology Physician in Emmett, ID, registered under NPI 1639121361. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2020 S JOHNS AVE STE B, Emmett, ID 83617. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2020 S JOHNS AVE STE B, Emmett, ID 83617 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
M7844 ID Obstetrics & Gynecology Physician
M7844 ID Obstetrics Physician
M7844 ID Gynecology Physician primary

This provider holds licence M7844 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
5395657787
Enrollment ID
I20031104000378

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gynecology covers

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. NUCC Health Care Provider Taxonomy, code 207VG0400X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology Gynecology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207V00000X Obstetrics & Gynecology Physician M7844 ID
207VX0000X Obstetrics Physician Obstetrics M7844 ID
207VG0400X Gynecology Physician Gynecology M7844 ID primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1639121361 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 17, 2006
Last updatedNov 12, 2023
StatusActive
Sole proprietorYes
GenderFemale
CredentialMD
Practice address 2020 S JOHNS AVE STE B
Emmett, ID 83617
(208) 425-7507
Fax (208) 541-9341
Mailing address 23000 SWEET OLA HWY
Ola, ID 83657
This record was updated on Nov 12, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1639121361 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 3 9 1 2 1 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 6 9 2 2 2 3 3

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1639121361?
NPI 1639121361 is the National Provider Identifier assigned to Lee Self, MD in Emmett, ID. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gynecology cover?
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
How do I contact Lee Self, MD?
The phone number on file with NPPES is (208) 425-7507, last updated Nov 12, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lee Self, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1639121361 a valid number?
Yes. 1639121361 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.