Individual provider Active NPI

Kelvin Chee-Ming Lee, M.D.

  • Pediatric Cardiology Physician
  • Orlando, FL
National Provider Identifier
1578722997
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME123202 Issued in FL
Practice address
2501 N Orange Ave Ste 310
Orlando, FL 32804-4642
Phone
(407) 303-2001
Fax
(407) 303-2450
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 247060 NY
Pediatric Cardiology Physician 2080P0202X 48930 TN
Pediatric Cardiology Physician 2080P0202X ME123202 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 310
Orlando, FL 32804-4642

Mailing address

2501 N Orange Ave Ste 310
Orlando, FL 32804-4642
Phone (407) 303-2001

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
I20160727002342 FL Practitioner - Cardiovascular Disease (Cardiology) 3678720406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Florida College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2501 N Orange Ave
Suite 310
Orlando, FL 32804-4642
Phone (407) 856-7226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247060NYMDPediatrics Physician
ME123202FLMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jun 13, 2016 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Jun 13, 2016 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Pediatrics Past Accepting new patients

Locations

1530 Celebration Blvd
Ste 408
Celebration, FL 34747
Phone (407) 392-2777

305 Memorial Medical Pkwy
Ste 408
Daytona Beach, FL 32117

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6609 N Wickham Rd
Ste 104
Melbourne, FL 32940
Phone (407) 303-7280

2501 N Orange Ave
Ste 209
Orlando, FL 32804
Phone (407) 681-3223

2501 N Orange Ave
Ste 310
Orlando, FL 32804
Phone (407) 856-7226

3100 E Fletcher Ave
Ste 126
Tampa, FL 33613
Phone (813) 467-4242

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

2200 Fowler Grove Blvd
Ste 200
Winter Garden, FL 34787
Phone (407) 271-3607

Interoperability endpoints

  • Direct secure messaging: klee71404@epicdirect.hf.org
  • Direct secure messaging: klee56957@adventhealth.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1578722997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044642",
            "telephone_number": "407-303-2001",
            "fax_number": "407-303-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044642",
            "telephone_number": "407-303-2001",
            "fax_number": "407-303-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELVIN",
        "middle_name": "CHEE-MING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247060",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TN",
            "license": "48930",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME123202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.