Individual provider Active NPI

Juan C Lee, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1205836699
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME101578 Issued in FL
Practice address
2700 University Square Dr
Tampa, FL 33612-5513
Phone
(813) 253-2721
Fax
(813) 253-2299
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 049913 GA
Diagnostic Radiology Physician 2085R0202X ME101578 FL Primary

Addresses

Primary practice location

2700 University Square Dr
Tampa, FL 33612-5513

Mailing address

2700 University Square Dr
Tampa, FL 33612-5513
Phone (813) 253-2721

Other identifiers 2

IdentifierTypeStateIssuer
00909466BMedicaidGA
003288400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110502000759 FL Practitioner - Diagnostic Radiology 3476547670 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

10740 Palm River Rd
Suite 310
Tampa, FL 33619-4577
Phone (904) 399-5550

1301 W Kennedy Blvd
Tampa, FL 33606-1848
Phone (904) 399-5550

2 Columbia Dr
Tampa, FL 33606-3508
Phone (904) 399-5550

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2700 University Square Dr
Tampa, FL 33612-5513
Phone 81325327211937

4719 N Habana Ave
Tampa, FL 33614-7105
Phone (904) 399-5550

564 W Davis Blvd
Tampa, FL 33606-4038
Phone (904) 399-5550

572 W Davis Blvd
Tampa, FL 33606-4038
Phone (904) 399-5550

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101578FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
North Brevard Medical Support, Inc CurrentSince Mar 9, 2021 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Dec 8, 2019 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Radcare of Florida LLC Diagnostic Radiology Past Accepting new patients
Signet Diagnostic Imaging Services LLC Past Accepting new patients
Rad-One, PA Diagnostic Radiology Past Accepting new patients
Medrad, LLC Specialist Past Accepting new patients
Med Cross Imaging LLC Specialist Past Accepting new patients

Locations

414 W Robertson St
Ste 102
Brandon, FL 33511
Phone (813) 657-6767

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

4325 Henderson Blvd
Tampa, FL 33629
Phone (813) 251-5858

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: juan.lee.1@17832.direct.athenahealth.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jlee62772@direct.tgh.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1205836699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-253-2721",
            "fax_number": "813-253-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-253-2721",
            "fax_number": "813-253-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "049913",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME101578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00909466B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003288400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.