Active NPI
Fayzel S Lee, MD
- Anesthesiology Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00039339
- Practice address
- 939 Caroline St
Port Angeles, WA 98362-3909 - Phone
- (360) 417-7000
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00039339 | WA | Primary |
| Anesthesiology Physician | 207L00000X | 100143 | WI |
Addresses
Primary practice location
939 Caroline St
Port Angeles, WA 98362-3909
Mailing address
PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911
Other practice location 1
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1112945 | Medicaid | WA | |
| 100221678 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | flee362151@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Alberta, Faculty of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000
Hospital & facility affiliations
- Olympic Medical Center
- Yuma Regional Medical Center
- Grays Harbor Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.29 of 100
- Quality
- 20.24
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 77.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100143 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Providence Wa Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Tahoma Anesthesiology Consultants PS | Anesthesiology | Past | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315
Interoperability endpoints
- flee280290@wm.providencedirect.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
-
- Clinic/Center
- Westport, WA
- NPI 1497510333
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Anesthesiology Physician
- Olympia, WA
- NPI 1699723023
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1164426698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97115",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984970115",
"telephone_number": "253-588-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-417-7000"
}
],
"practiceLocations": [
{
"address_1": "2900 W Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532154330",
"country_code": "US",
"telephone_number": "414-649-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "FAYZEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00039339",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "100143",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1112945",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100221678",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "flee362151@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2900 W Oklahoma Ave",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532154330",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2900 W Oklahoma Ave",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532154330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.