Active NPI
Lee Ming Shum, M.D.
- Rheumatology Physician
- Mayaguez, PR
National Provider Identifier
1568741387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 19336
- Practice address
- Carr #2 Bo Guanajibo
Policlinica de Bella Vista Ofic 205
Mayaguez, PR 00680 - Phone
- (787) 804-3030
- NPI assigned
- Aug 10, 2011
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 19336 | PR | Primary |
Addresses
Primary practice location
Carr #2 Bo Guanajibo
Policlinica de Bella Vista Ofic 205
Mayaguez, PR 00680
Mailing address
PO Box 3895
Mayaguez, PR 00681-3895
Phone (787) 804-3030
Other practice location 1
Barrio Monacillo
Centro Medico de Puerto Rico Edificio UDH
San Juan, PR 00935-0001
Phone (787) 754-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161105000157 | PR | Practitioner - Rheumatology | 1759669104 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- University of Puerto Rico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Policlinica de Bella Vista
205 Carr 2 KM 158.3 Bo Guanajibo
Mayaguez, PR 00680
Phone (787) 804-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMS Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- San Juan, PR
- NPI 1417408790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1568741387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3895",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813895",
"telephone_number": "787-804-3030",
"fax_number": "787-804-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 BO GUANAJIBO",
"address_2": "POLICLINICA DE BELLA VISTA OFIC 205",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-804-3030"
}
],
"practiceLocations": [
{
"address_1": "Barrio Monacillo",
"address_2": "Centro Medico de Puerto Rico Edificio UDH",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009350001",
"country_code": "US",
"telephone_number": "787-754-0101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUM",
"first_name": "LEE MING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PR",
"license": "19336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Servicios Medicos Ginecologicos CRL
- Servicios Medicos Primarios Dr Rafael Alvarez,CSP
- Servicios Medicos Serrano, C.S.P.
- Servicios Preventivos de Salud de Puerto Rico, Corp.
- Servicios Quirurgicos del Caribe, P.S.C
- Silmed Inc
- Silva Morales Medical C.S.P.
- Jose Silva-Morales, M.D.
- Clara Ivelisse Silva
- Leysset Silva, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.