Individual provider Active NPI

Lee A Kleiman, M.D.

  • Facial Plastic Surgery Physician
  • Severna Park, MD
National Provider Identifier
1497783393
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
D0041107 Issued in MD
Practice address
479 Jumpers Hole Rd
Suite 304
Severna Park, MD 21146-1600
Phone
(410) 573-9191
Fax
(410) 573-5910
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X D0041107 MD
Specialist 174400000X D0041107 MD
Facial Plastic Surgery Physician 207YS0123X D0041107 MD Primary
Otolaryngology Physician 207Y00000X D0041107 MD

Addresses

Primary practice location

479 Jumpers Hole Rd
Suite 304
Severna Park, MD 21146-1600

Mailing address

600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082
Phone (410) 573-9191

Other practice location 1

621 Ridgely Ave Ste 401
Annapolis, MD 21401-1099
Phone (410) 573-9191

Other practice location 2

600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082
Phone (410) 573-9191

Other identifiers 3

IdentifierTypeStateIssuer
5390163OtherMDAETNA
FN66-0001OtherMDCAREFIRST BCBS
005840800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051102000383 MD Practitioner - Otolaryngology 4688691264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Maryland School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic ENTGroup PAC ID 8527477819, 7 clinicians

Practice addresses (Care Compare)

479 Jumpers Hole Rd
Suite 304
Severna Park, MD 21146-1734
Phone (410) 573-9191

600 Ridgely Ave
Suite 110
Annapolis, MD 21401-1082
Phone 4105739191100

621 Ridgely Ave
Suite 401
Annapolis, MD 21401-1099
Phone (410) 573-9191

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0041107MDMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic ENT Otolaryngology CurrentSince Jul 1, 2021 Accepting new patients
Arundel Ambulatory Surgery Center, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Entaa Care, P.a. Specialist Past Accepting new patients

Locations

600 Ridgely Ave
Ste 110
Annapolis, MD 21401
Phone (410) 263-8389

621 Ridgely Ave
Ste 401
Annapolis, MD 21401
Phone (410) 573-9191

621 Ridgely Ave
Ste 404
Annapolis, MD 21401

479 Jumpers Hole Rd
Ste 304
Severna Park, MD 21146
Phone (410) 544-9988

Interoperability endpoints

  • Direct secure messaging: lkleiman22335@direct.umm.edu

Organizations & group practices 3

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 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1497783393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011082",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD",
            "address_2": "SUITE 304",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461600",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Ridgely Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011099",
            "country_code": "US",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Ridgely Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011082",
            "country_code": "US",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "LEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MD",
            "license": "D0041107",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0041107",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MD",
            "license": "D0041107",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0041107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5390163",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "FN66-0001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005840800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.