Kevin S Lee, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

186405 Issued in NY

Practice address

1649 Deer Park Avenue
Deer Park, NY 11729

Phone

(631) 667-8178

Fax

(631) 667-3859

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

State University of New York at Stony Brook, School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Kevin S. Lee, M.D. and Stephen S. Lee, M.D.,PCGroup PAC ID 5395905764, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (6 of 10)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: kevinlee@cmpc.allscriptsdirect.net

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.

• Kevin S. Lee, M.D. & Stephen S. Lee, M.D.,PC

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1992984900

  Cardiovascular Disease, NY

  Medicare reassignment Care Compare group NPD Authorized official
• Comprehensive Medical PC

  • Cardiovascular Disease Physician
  • Deer Park, NY
  • NPI 1073797981

  Cardiovascular Disease, NY

  Medicare reassignment NPD Authorized official
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Cardiovascular Disease, NY

  Medicare reassignment Care Compare group NPD
• Stephen S Lee MD PLLC

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1164387924

  Cardiovascular Disease

  NPD
• Doshi Diagnostic Imaging Services PC

  • Diagnostic Radiology Physician
  • Hicksville, NY
  • NPI 1720031339
  NPD (past)
• Frio Hospital Association

  • Critical Access Hospital Clinic/Center
  • Pearsall, TX
  • NPI 1952308132
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514

  Hospital

  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003976077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 DEER PARK AVENUE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11729",
            "telephone_number": "631-667-8178",
            "fax_number": "631-667-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 DEER PARK AVENUE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11729",
            "telephone_number": "631-667-8178",
            "fax_number": "631-667-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "186405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia M Lasorsa, MS
• Stephanie A Laureano, LCSW
• Joy D Lawrence, LPN
• Audrey Le, RPH
• Andrea Elizabeth Lee, RN
• Michelle Marie Lee, RN
• Lance Scott Lefkowitz, M.D.
• Bianca Legros
• Samantha Legros, LPN
• Edgar F Lerias, MD

• All providers in Deer Park, NY
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.