Active NPI
Elizabeth W Lee, MD
- Surgery Physician
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G72583
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G725830 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General 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
- Usc Arcadia Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 463 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72583 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Surgical Associates | Surgery | Current | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients | |
| Usc Arcadia Hospital | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Usc Arcadia Hospital | Hospital | Corporate Director | Jan 1, 2024 |
| Usc Arcadia Hospital | 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.
-
- Surgery Physician
- Arcadia, CA
- NPI 1487666079
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covina, CA
- NPI 1801022140
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.