Individual provider Active NPI

Mark Y Lee, MD

  • Clinical Cardiac Electrophysiology Physician
  • Long Beach, CA
National Provider Identifier
1487943510
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
116281 Issued in CA
Practice address
2898 Linden Ave
Long Beach, CA 90806-1627
Phone
(562) 595-8671
Fax
(562) 490-2015
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A116281 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X 116281 CA Primary
Cardiovascular Disease Physician 207RC0000X 116281 CA

Addresses

Primary practice location

2898 Linden Ave
Long Beach, CA 90806-1627

Mailing address

2898 Linden Ave
Long Beach, CA 90806-1627
Phone (562) 988-2995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160829001916 CA Practitioner - Cardiovascular Disease (Cardiology) 2668618869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Vermont College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Cardiology Medical Group IncGroup PAC ID 0446242119, 7 clinicians

Practice addresses (Care Compare)

2898 Linden Ave
Long Beach, CA 90806-1627
Phone (562) 595-8671

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
70.45
Improvement activities
40
Cost
72.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116281CAMDInternal Medicine Physician
116281CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Cardiology Medical Group, Inc CurrentSince Aug 1, 2016 Accepting new patients
St. Mary Medical Center Past Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

2898 Linden Ave
Long Beach, CA 90806
Phone (310) 595-8671

2898 Linden Ave
Ste 309
Long Beach, CA 90806

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mlee400539@direct.memorialcare.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1487943510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061627",
            "telephone_number": "562-988-2995",
            "fax_number": "562-989-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061627",
            "telephone_number": "562-595-8671",
            "fax_number": "562-490-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARK",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116281",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "116281",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "116281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.