Individual provider Active NPI

Terry T Lee, MD

  • Radiation Oncology Physician
  • Peoria, AZ
National Provider Identifier
1255395463
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
30326 Issued in AZ
Practice address
14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5639
Phone
(623) 773-2873
Fax
(623) 414-4922
NPI assigned
Apr 14, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 30326 AZ Primary

Addresses

Primary practice location

14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5639

Mailing address

14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5639
Phone (623) 773-2873

Other identifiers 1

IdentifierTypeStateIssuer
699762OtherAZAHCCCS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051017001169 AZ Practitioner - Radiation Oncology 6305862590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, San Francisco School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10460 N 92ND St
Suite 101
Scottsdale, AZ 85258-4547
Phone (480) 278-8300

14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5652
Phone (623) 773-2873

7337 E 2ND St
Scottsdale, AZ 85251-5603
Phone (480) 278-8300

7695 S Research Dr
Tempe, AZ 85284-1812
Phone (480) 278-8300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jun 1, 2008 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jun 1, 2008 Accepting new patients
Arizona Center for Hematology and Oncology PLC Radiation Oncology Current Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

14674 W Mountain View Blvd
Ste 104
Surprise, AZ 85374
Phone (480) 659-7384

14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1255395463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE",
            "address_2": "SUITE 127",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815639",
            "telephone_number": "623-773-2873",
            "fax_number": "623-414-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE",
            "address_2": "SUITE 127",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815639",
            "telephone_number": "623-773-2873",
            "fax_number": "623-414-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TERRY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "30326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "699762",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.