Individual provider Active NPI

Thomas C Lee, M.D.

  • Diagnostic Radiology Physician
  • Deland, FL
National Provider Identifier
1356589980
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME164442 Issued in FL
Practice address
701 W Plymouth Ave
Deland, FL 32720-3236
Phone
(386) 943-3160
Fax
(317) 705-5047
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 238500 MA
Neuroradiology Physician 2085N0700X 238500 MA
Diagnostic Radiology Physician 2085R0202X 238500 MA
Diagnostic Radiology Physician 2085R0202X ME164442 FL Primary

Addresses

Primary practice location

701 W Plymouth Ave
Deland, FL 32720-3236

Mailing address

75 Francis St
Radiology, Brigham and Women'S Hospital
Boston, MA 02115-6110
Phone (617) 732-7260

Other practice location 1

75 Francis St
Radiology, Brigham and Women's Hospital
Boston, MA 02115-6110
Phone (617) 732-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090313000019 MA Practitioner - Diagnostic Radiology 4183780331 Reassigns benefits to 6 organizations
I20231128000549 FL Practitioner - Diagnostic Radiology 4183780331 Reassigns benefits to 3 organizations
I20241107001878 KY Practitioner - Diagnostic Radiology 4183780331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
McGill University, Faculty of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 646-7000

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 200-2355

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

2200 Fowler Grove Blvd
Suite 60
Winter Garden, FL 34787-5597
Phone (407) 200-0538

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316
Phone (407) 846-4343

2488 E Irlo Bronson Memorial Hwy
Ahi Partin Settlement
Kissimmee, FL 34744-4948
Phone (407) 200-5440

25 S Terry Ave
Suite 220
Orlando, FL 32805-1843
Phone (407) 641-2446

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 830-4321

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110

900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

National Provider Directory

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

Practice roles (15 of 17)

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 2, 2024 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Neuroradiology CurrentSince Jan 2, 2024 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Jan 2, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Aug 1, 2021 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 2, 2024 Accepting new patients
Adventhealth Imaging Training Center CurrentSince Jan 2, 2024 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Dec 22, 2020 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Aug 1, 2021 Accepting new patients
The McLean Hospital Corporation CurrentSince Feb 14, 2020 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

75 Francis St
Boston, MA 02115

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tlee2217604@adventhealth.direct-ci.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 8

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1356589980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-7260",
            "fax_number": "617-525-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203236",
            "telephone_number": "386-943-3160",
            "fax_number": "317-705-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_2": "Radiology, Brigham and Women's Hospital",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-7260",
            "fax_number": "617-525-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "MA",
            "license": "238500",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "238500",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "238500",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME164442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.