Active NPI
Edwin N Lee, MD
- Endocrinology, Diabetes & Metabolism Physician
- Orlando, FL
National Provider Identifier
1083683106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME75595
- Practice address
- 7009 Dr Phillips Blvd
Suite 150
Orlando, FL 32819-5123 - Phone
- (407) 363-9665
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME75595 | FL | Primary |
Addresses
Primary practice location
7009 Dr Phillips Blvd
Suite 150
Orlando, FL 32819-5123
Mailing address
7009 Dr Phillips Blvd
Suite 150
Orlando, FL 32819-5123
Phone (407) 363-9665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460002163 | Other | FL | MEDICARE ID/RRM PIN |
| 254502100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME75595 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Gessler Clinic Professional Association | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1154399533
Endocrinology, Diabetes & Metabolism
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1083683106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 DR PHILLIPS BLVD",
"address_2": "SUITE 150",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195123",
"telephone_number": "407-363-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 DR PHILLIPS BLVD",
"address_2": "SUITE 150",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195123",
"telephone_number": "407-363-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EDWIN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME75595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID/RRM PIN",
"identifier": "460002163",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254502100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.