Individual provider Active NPI

Kenneth Adam Lee, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jupiter, FL
National Provider Identifier
1295734960
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME104831 Issued in FL
Practice address
1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone
(561) 263-4400
NPI assigned
Jul 15, 2005
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA08616300 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME104831 FL Primary

Addresses

Primary practice location

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205

Mailing address

PO Box 9218
Jupiter, FL 33468-9218
Phone (561) 748-2889

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
I20040413001807 FL Practitioner - Thoracic Surgery 1254325020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group CurrentSince Sep 1, 2011 Accepting new patients
Jupiter Medical Center Physicians Group Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2011 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1002 S Old Dixie Hwy
Ste 304
Jupiter, FL 33458
Phone (561) 223-6288

1210 S Old Dixie Hwy
Ste 3
Jupiter, FL 33458

1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400

1240 S Old Dixie Hwy
Fl 2
Jupiter, FL 33458
Phone (561) 263-4400

1240 S Old Dixie Hwy
Ste 202
Jupiter, FL 33458
Phone (561) 263-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEICA
  • Direct secure messaging: kenneth.lee@jmcpg.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1295734960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9218",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689218",
            "telephone_number": "561-748-2889",
            "fax_number": "561-748-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KENNETH",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA08616300",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME104831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.