Ilde Manuel Lee

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

265685 Issued in NY

Practice address

110 Bard Ave Apt 4
Staten Island, NY 10310-3205

Phone

(903) 440-0013

NPI assigned

Aug 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal MedicineAlso: Critical Care (Intensivists)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
• Keralty Hospital Hospital, Miami, FL, CCN 100284
• Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kendall Healthcare Group, LTD.

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1710931522
  Care Compare affiliation
• Key West Hma LLC

  • General Acute Care Hospital
  • Key West, FL
  • NPI 1619922077
  Care Compare affiliation
• Westchester General Hospital, Inc.

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1548284177
  Care Compare affiliation

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1639484116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BARD AVE APT 4",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103205",
            "telephone_number": "903-440-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BARD AVE APT 4",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103205",
            "telephone_number": "903-440-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ILDE",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunjung Lee
• Haesook Lee, RN
• Hajung Lee
• Hei Suk Lee, MD
• Hoon K Lee, M.D.
• Isaac Lee
• Jason M Lee, PHARM.D.
• Jisoo Lee, M.D.
• John Lee, MD
• Ju an Lee

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.

Verify at the official NPI Registry.