Individual provider Active NPI

Cha Lee, MD

  • Family Medicine Physician
  • Land O Lakes, FL
National Provider Identifier
1285743971
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME163264 Issued in FL
Practice address
7040 Land O Lakes Blvd Unit 103
Land O Lakes, FL 34638-3201
Phone
(813) 803-7907
Fax
(813) 528-8960
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42508020 WI
Family Medicine Physician 207Q00000X ME163264 FL Primary

Addresses

Primary practice location

7040 Land O Lakes Blvd Unit 103
Land O Lakes, FL 34638-3201

Mailing address

7040 Land O Lakes Blvd Unit 103
Land O Lakes, FL 34638-3201
Phone (813) 803-7907

Other identifiers 2

IdentifierTypeStateIssuer
34066500MedicaidWI
000001546OtherWIMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061121000577 WI Practitioner - Family Practice 9234137563 Reassigns benefits to 2 organizations
I20231010000327 FL Practitioner - Family Practice 9234137563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME163264FLMDFamily Medicine Physician
42508020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V Medical Clinic, LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Dec 18, 2023 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Lee Medical Clinic Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

7040 Land O Lakes Blvd
Unit 103
Land O Lakes, FL 34638
Phone (813) 779-1209

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

7114 W Capitol Dr
Ste 2
Milwaukee, WI 53216
Phone (414) 616-8901

7114 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 210-5005

501 Superior Ave
Sheboygan, WI 53081
Phone (920) 783-6551

509 Superior Ave
Sheboygan, WI 53081
Phone (920) 459-2637

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18758/brand/1/csg/1/fhir/r4
  • Direct secure messaging: clee2411569@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1285743971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAND O LAKES BLVD UNIT 103",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383201",
            "telephone_number": "813-803-7907",
            "fax_number": "813-528-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAND O LAKES BLVD UNIT 103",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383201",
            "telephone_number": "813-803-7907",
            "fax_number": "813-528-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42508020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME163264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34066500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "000001546",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.