Individual provider Active NPI

Michael Peng-Wei Lee, M.D.

  • Dermatopathology (Pathology) Physician
  • New Orleans, LA
National Provider Identifier
1063731040
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD.206941 Issued in LA
Practice address
3715 Prytania St
New Orleans, LA 70115-3761
Phone
(504) 392-4009
NPI assigned
May 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD.206941 LA Primary

Addresses

Primary practice location

3715 Prytania St
New Orleans, LA 70115-3761

Mailing address

3715 Prytania St
New Orleans, LA 70115-3761
Phone (504) 392-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20221118002508 GA Practitioner - Pathology 1557672938 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Finan Dermatopathology Laboratory, P.C. CurrentSince Jul 20, 2022 Accepting new patients

Locations

1200 Lake Hearn Dr NE
Ste 300
Sandy Springs, GA 30319
Phone (404) 851-1766

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1063731040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153761",
            "telephone_number": "504-392-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153761",
            "telephone_number": "504-392-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "PENG-WEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-29",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "LA",
            "license": "MD.206941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.