Augustine Changdae Lee, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

68595 Issued in AZ

Practice address

12740 N Plaza del Rio Blvd
Peoria, AZ 85381-8100

Phone

(480) 581-3600

Fax

(480) 581-3600

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Physical Medicine and Rehabilitation

Education

Toledo Medical College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post-Acute Physicians of Arizona PLLCGroup PAC ID 6406086438, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Mayo Clinic Hospital Hospital, Phoenix, AZ, CCN 030103
• Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
• Banner Rehabilitation Hospital-West Inpatient rehabilitation facility, Peoria, AZ, CCN 033042
• Pam Health Rehabilitation Hospital of Surprise Inpatient rehabilitation facility, Surprise, AZ, CCN 033039

Merit-based Incentive Payment System (MIPS)

Final score

56 of 100Reported as group

Quality

45

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lee Rehabilitation Medicine Associates PLLC

  • Physical Medicine & Rehabilitation Physician
  • Peoria, AZ
  • NPI 1811845548

  AZ, Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Post-Acute Physicians of Arizona PLLC

  • Physical Medicine & Rehabilitation Physician
  • Surprise, AZ
  • NPI 1205267119

  AZ, Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• BHSM Rehabilitation, LLC

  • Rehabilitation Hospital
  • Phoenix, AZ
  • NPI 1851921571
  NPD (past)
• Pratt Medical Group, Inc

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1184661225
  NPD (past)
• Pratt Rehabilitation Medicine Associates, Inc

  • Physical Medicine & Rehabilitation Physician
  • Boston, MA
  • NPI 1316981012

  Physical Medicine & Rehabilitation

  NPD (past)

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

• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914

  Hospital

  Care Compare affiliation
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553

  Hospital

  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188

  Hospital

  Care Compare affiliation
• BHSM Rehabilitation, LLC

  • Rehabilitation Hospital
  • Phoenix, AZ
  • NPI 1851921571

  Inpatient rehabilitation facility

  Care Compare affiliation
• Cobalt Rehabilitation Hospital IV

  • Rehabilitation Hospital
  • Surprise, AZ
  • NPI 1679954002

  Inpatient rehabilitation facility

  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1528169125

  Hospital

  Care Compare affiliation
• Mayo Clinic Arizona

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1154392231

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1063948529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "281-724-3050",
            "fax_number": "281-724-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853818100",
            "telephone_number": "480-581-3600",
            "fax_number": "480-581-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Peachtree Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091465",
            "country_code": "US",
            "telephone_number": "404-352-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13060 W Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853781200",
            "country_code": "US",
            "telephone_number": "623-499-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AUGUSTINE",
        "middle_name": "CHANGDAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "93296",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "63159",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "68595",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "274910",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "282952",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208019",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Juanita Ledezma, LSAT
• Lee Rehabilitation Medicine Associates PLLC
• Alisa Lee, PHARMD
• Amy Renee Lee, NP
• Angela Lee
• Barbara Ann Lee, MA
• Brandon Lee
• Bryton Lee, PHARM D
• Jennifer Brianne Lee, PT, DPT, FAFS
• Katy Lee, PHARM D

• Physical Medicine & Rehabilitation Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.