Individual provider Active NPI

Chee Y Lee, MD

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1386628857
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79769 Issued in FL
Practice address
1630 N. Clyde Morris Blvd
Suite C
Daytona Beach, FL 32117
Phone
(386) 238-9064
Fax
(386) 238-9063
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79769 FL Primary

Addresses

Primary practice location

1630 N. Clyde Morris Blvd
Suite C
Daytona Beach, FL 32117

Mailing address

1630 N. Clyde Morris Blvd
Suite C
Daytona Beach, FL 32117
Phone (386) 238-9064

Other practice location 1

8920 Wilshire Blvd Ste 310
Beverly Hills, CA 90211-2003
Phone (888) 381-8220

Other practice location 2

5100 W Copans Rd Ste 300
Margate, FL 33063-7700
Phone (954) 439-0898

Other practice location 3

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584
Phone (833) 444-4153

Other practice location 4

256 Crooked Tree Trl
Deland, FL 32724
Phone (154) 174-0364

Other identifiers 1

IdentifierTypeStateIssuer
007107MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical Foundation Internal Medicine Past Accepting new patients
Omni Healthcare, Inc. Internal Medicine Past Accepting new patients
Metcare of Florida, Inc Internal Medicine Past Accepting new patients
Emergency Medicine Professionals PA Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1386628857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 N. CLYDE MORRIS BLVD",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 N. CLYDE MORRIS BLVD",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8920 Wilshire Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112003",
            "country_code": "US",
            "telephone_number": "888-381-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 W Copans Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330637700",
            "country_code": "US",
            "telephone_number": "954-439-0898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 W Kennedy Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092584",
            "country_code": "US",
            "telephone_number": "833-444-4153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Crooked Tree Trl",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "32724",
            "country_code": "US",
            "telephone_number": "154-174-0364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHEE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.