Individual provider Active NPI

Ming Hua Lee, M.D.

  • Dermatology Physician
  • Gainesville, FL
National Provider Identifier
1669834495
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME155353 Issued in FL
Practice address
4525 SW 13TH St
Gainesville, FL 32608-3901
Phone
(352) 377-8619
Fax
(352) 371-9674
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-43050 KS
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X 036.151547 IL
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME155353 FL Primary

Addresses

Primary practice location

4525 SW 13TH St
Gainesville, FL 32608-3901

Mailing address

4525 SW 13TH St
Gainesville, FL 32608-3901
Phone (352) 377-8619

Other practice location 1

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-3403

Other practice location 2

725 Albany Street
8th Floor, Suite 8B
Boston, MA 02118
Phone (617) 638-7420

Other practice location 3

676 N Saint Clair St Ste 1600
Chicago, IL 60611-2997
Phone (312) 695-3721

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
I20220713004433 FL Practitioner - Dermatology 7618249590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Blanchard Stoer MD PAGroup PAC ID 3971523937, 5 clinicians

Practice addresses (Care Compare)

4525 SW 13TH St
Gainesville, FL 32608-3901
Phone (352) 377-8619

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as individual
Quality
75.21
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision118
Removal of tissue1-10
Removal of skin lesions42
Removal of skin cancer1347
Skin biopsy48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155353FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Blanchard Stoer MD PA Multi-Specialty CurrentSince Aug 29, 2022 Accepting new patients
Suncoast Skin Solutions Multi-Specialty CurrentSince Aug 29, 2022 Accepting new patients
Central Dupage Physician Group Multi-Specialty PastSince Jun 1, 2020 Accepting new patients

Locations

4525 SW 13th St
Gainesville, FL 32608
Phone (352) 377-8619

Interoperability endpoints

  • Direct secure messaging: mlee@serenola.emadirect.md

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 8

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1669834495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083901",
            "telephone_number": "352-377-8619",
            "fax_number": "352-371-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083901",
            "telephone_number": "352-377-8619",
            "fax_number": "352-371-9674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3249 Oak Park Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023429",
            "country_code": "US",
            "telephone_number": "708-783-3403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Albany Street",
            "address_2": "8th Floor, Suite 8B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 N Saint Clair St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112997",
            "country_code": "US",
            "telephone_number": "312-695-3721",
            "fax_number": "312-695-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MING",
        "middle_name": "HUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-43050",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036.151547",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME155353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.