Individual provider Active NPI

Marah J Lee, D.O.

  • Internal Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1518923010
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS6563 Issued in FL
Practice address
5333 N Dixie Hwy
Suite 110
Oakland Park, FL 33334-3414
Phone
(954) 772-8554
Fax
(954) 772-9662
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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 OS6563 FL Primary

Addresses

Primary practice location

5333 N Dixie Hwy
Suite 110
Oakland Park, FL 33334-3414

Mailing address

5333 N Dixie Hwy
Suite 110
Oakland Park, FL 33334-3414
Phone (954) 772-8554

Other identifiers 1

IdentifierTypeStateIssuer
80797OtherFLBC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090713000538 FL Practitioner - Internal Medicine 3577570126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeway IncGroup PAC ID 6406863034, 2 clinicians

Practice addresses (Care Compare)

5333 N Dixie Hwy
Suite 110
Ft. Lauderdale, FL 33334-3453
Phone (954) 772-8554

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS6563FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Inc Internal Medicine CurrentSince Feb 1, 2001 Accepting new patients
Yvonne R S Sherrer MD PA PastSince Feb 1, 2001 Accepting new patients

Locations

5353 N Federal Hwy
Ste 301
Ft Lauderdale, FL 33308
Phone (954) 351-7737

5333 N Dixie Hwy
Ste 110
Oakland Park, FL 33334
Phone (954) 229-7030

Interoperability endpoints

  • Direct secure messaging: drlee@li-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 5

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1518923010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 110",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-772-8554",
            "fax_number": "954-772-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 110",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-772-8554",
            "fax_number": "954-772-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARAH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "80797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.