Kenneth Baruch Lee, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0005913 Issued in FL

Practice address

7860 SW 103Rd Street Rd
BLDG 100 Suite 101
Ocala, FL 34476-8623

Phone

(352) 873-4458

Fax

(352) 873-8116

NPI assigned

Nov 1, 2006

Last updated

Aug 31, 2023By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Countryside Medical PAGroup PAC ID 2860460318, 3 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Healthcare at Home Home health agency, The Villages, FL, CCN 109581
• Munroe Regional Homecare LLC Home health agency, Ocala, FL, CCN 107009
• Florida Homecare Specialists Inc Home health agency, Lady Lake, FL, CCN 109071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGFCDA/Endpoint/CGFCDA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Countryside Medical PA

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1275610362
  Medicare reassignment Care Compare group NPD Authorized official
• Town and Country Medical Inc

  • Physical Therapist
  • Ocala, FL
  • NPI 1841395712
  NPD (past)

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

• Florida Homecare Specialists Incorporated

  • Home Health Agency
  • Lady Lake, FL
  • NPI 1609924265
  Care Compare affiliation
• Innovative Senior Care Home Health of Ocala LLC

  dba HCA Florida Healthcare at Home

  • Home Health Agency
  • The Villages, FL
  • NPI 1679721625
  Care Compare affiliation
• Munroe Regional Homecare, LLC

  dba Munroe Regional HomeCare

  • Home Health Agency
  • Ocala, FL
  • NPI 1316072887
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1023195112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770719",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344770719",
            "telephone_number": "352-873-4458",
            "fax_number": "352-873-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 SW 103RD STREET RD",
            "address_2": "BLDG 100 SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768623",
            "telephone_number": "352-873-4458",
            "fax_number": "352-873-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENNETH",
        "middle_name": "BARUCH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P0021885400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80388",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamiko Victoria Lee-Baker
• Alexandria Lee-Norris
• Alexander Lee, DO
• Camisha Lee
• Jennifer Haejoo Lee
• Paul Allen Lee, CRNA
• Susan Lee, LMT
• Yoomie Jane Lee, M.D.
• Rachel Leeds, APRN
• Megan Lefebvre, ARNP

• Family Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.