NPIMap

Individual provider Active NPI

Philip Cheung Lee, MD

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1063699460
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2023-01942 Issued in NC
Practice address
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone
(704) 343-9800
Fax
(704) 347-2011
NPI assigned
Jan 28, 2008
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2023-01942 NC
Cardiovascular Disease Physician 207RC0000X 01069151A IN
Cardiovascular Disease Physician 207RC0000X 2023-01942 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 200
Charlotte, NC 28204-3578

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800

Other practice location 1

141 W 22nd St Ste 109
Anderson, IN 46016-4315
Phone (765) 646-8538

Other identifiers 2

IdentifierTypeStateIssuer
201009380MedicaidIN
000000700130OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110726000610 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052589629 Reassigns benefits to 1 organization
I20230831003335 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052589629 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2005
Medicare assignment
May accept Medicare assignment
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 200
Charlotte, NC 28204-3215
Phone (704) 343-9800

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

8201 Health Loop
Charlotte, NC 28215-7072
Phone (980) 302-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01069151AINMDCardiovascular Disease Physician
2023-01942NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Sep 1, 2023 Accepting new patients
New Castle Clinic Inc CurrentSince Mar 15, 2015 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Sep 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
New Castle Clinic Inc Cardiovascular Disease CurrentSince Mar 15, 2015 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 30, 2023 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince Jul 30, 2023 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jul 30, 2023 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Jul 30, 2023 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 1, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 30, 2023 Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease Past Accepting new patients

Locations

1000 N 16th St
Ste 240
New Castle, IN 47362
Phone (765) 521-1461

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Baldwin Ave
Ste 100
Charlotte, NC 28204
Phone (704) 316-1900

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

125 Queens Rd
Ste 200
Charlotte, NC 28204

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

2701 Statesville Ave
Charlotte, NC 28206
Phone (704) 384-0500

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: philip.lee.1@7598.direct.athenahealth.com
  • Direct secure messaging: philip.lee.2@7598.direct.athenahealth.com
  • Direct secure messaging: plee1149152@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1063699460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043578",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W 22nd St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164315",
            "country_code": "US",
            "telephone_number": "765-646-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "PHILIP",
        "middle_name": "CHEUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-01942",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01069151A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2023-01942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201009380",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000700130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.