Individual provider Active NPI

Elizabeth W Lee, MD

  • Surgery Physician
  • Arcadia, CA
National Provider Identifier
1528087129
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G72583 Issued in CA
Practice address
612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602
Phone
(626) 446-4645
Fax
(626) 446-1626
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G72583 CA Primary

Addresses

Primary practice location

612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602

Mailing address

612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602
Phone (626) 446-4645

Other identifiers 1

IdentifierTypeStateIssuer
00G725830MedicaidCA

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
I20041109000904 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 2961465109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 W Duarte Rd
Suite 602
Arcadia, CA 91007-9241
Phone (626) 446-4645

Hospital & facility affiliations

  • Prestigious Home Health, Inc Home health agency, Covina, CA, CCN 059193
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue463
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72583CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Surgical Associates Surgery CurrentSince Apr 1, 2006 Accepting new patients
Dignity Community Care Past Accepting new patients
Usc Arcadia Hospital PastSince Apr 1, 2006 Accepting new patients

Locations

612 W Duarte Rd
Arcadia, CA 91007
Phone (310) 658-6656

612 W Duarte Rd
Ste 602
Arcadia, CA 91007
Phone (626) 446-4645

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elizabeth.lee.p109@direct.lifelinevascular.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Usc Arcadia HospitalArcadia, CA, CCN 050238 Hospital Corporate Director Jan 1, 2024
Usc Arcadia HospitalArcadia, CA, CCN 05T238 Hospital Corporate Director (100%) Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1528087129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 602",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-446-4645",
            "fax_number": "626-446-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 602",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-446-4645",
            "fax_number": "626-446-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G72583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G725830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.