NPIMap

Individual provider Active NPI

Monica SE-Ting Lee, M.D.

  • Otolaryngology Physician
  • Concord, MA
National Provider Identifier
1356516819
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
250105 Issued in MA
Practice address
54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139
Phone
(978) 369-8780
Fax
(978) 369-1043
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 250105 MA Primary

Addresses

Primary practice location

54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139

Mailing address

54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139
Phone (978) 369-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230001907 CA Practitioner - Otolaryngology 3173788353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Massachusetts Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
90.46
Promoting interoperability
76
Improvement activities
40
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250105MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California - UCSF CurrentSince Dec 19, 2022 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Marin General Hospital Past Accepting new patients
Emerson Hospital Past Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Otolaryngology Past Accepting new patients
South Suburban Ear, Nose & Throat Assoc Inc Otolaryngology PastSince Mar 1, 2016 Accepting new patients
University of California San Francisco Past Accepting new patients
Massachusetts General Physicians Organization Inc Past Accepting new patients

Locations

2100 Webster St
Ste 202
San Francisco, CA 94115
Phone (415) 749-5779

450 Sutter St
Rm 933
San Francisco, CA 94108

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

899 Northgate Dr
Ste 110
San Rafael, CA 94903
Phone (415) 684-8452

Interoperability endpoints

  • Direct secure messaging: mlee653780@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mlee270458@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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 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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1356516819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 303",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422139",
            "telephone_number": "978-369-8780",
            "fax_number": "978-369-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 303",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422139",
            "telephone_number": "978-369-8780",
            "fax_number": "978-369-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MONICA",
        "middle_name": "SE-TING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "250105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.