Individual provider Active NPI

Michele Danielle Lee, M.D.

  • Cornea and External Diseases Specialist Physician
  • Scottsdale, AZ
National Provider Identifier
1396164299
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
64179 Issued in AZ
Practice address
9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527
Phone
(480) 947-4493
NPI assigned
Apr 8, 2014
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 64179 AZ Primary

Addresses

Primary practice location

9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527

Mailing address

9811 N 95TH St Ste 101
Scottsdale, AZ 85258-4527
Phone (480) 947-4493

Other identifiers 1

IdentifierTypeStateIssuer
1396164299MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20180516002774 CA Practitioner - Ophthalmology 9537424726 Reassigns benefits to 1 organization
I20210824002768 AZ Practitioner - Ophthalmology 9537424726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randall K Tozer MD PCGroup PAC ID 4688703168, 6 clinicians

Practice addresses (Care Compare)

9811 N 95TH St
Suite 101
Scottsdale, AZ 85258-4527
Phone (480) 947-4493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery939

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 1, 2018 Accepting new patients
District Medical Group, Inc CurrentSince Jan 10, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Jan 10, 2022 Accepting new patients
Randall K Tozer MD PC Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Randall K Tozer MD PC Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients

Locations

1830 S Alma School Rd
Ste 102
Mesa, AZ 85210
Phone (480) 947-4493

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

9811 N 95th St
Ste 101
Scottsdale, AZ 85258
Phone (480) 947-4493

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

Interoperability endpoints

  • Direct secure messaging: mlee1027004@direct.ehre.uwmedicine.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1396164299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 N 95TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584527",
            "telephone_number": "480-947-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 N 95TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584527",
            "telephone_number": "480-947-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHELE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2023-05-10",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "AZ",
            "license": "64179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396164299",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.