Individual provider Active NPI

Zorayda M Lee-Llacer, M.D.

  • Anesthesiology Physician
  • Stevensville, MD
National Provider Identifier
1679577092
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0012962 Issued in MD
Practice address
818 Bayside Dr
Stevensville, MD 21666-2734
Phone
(202) 239-5888
Fax
(301) 868-9098
NPI assigned
Jun 13, 2005
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0012962 MD Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0012962 MD

Addresses

Primary practice location

818 Bayside Dr
Stevensville, MD 21666-2734

Mailing address

8909 Old Branch Ave
Clinton, MD 20735-2528
Phone (301) 868-7274

Other identifiers 2

IdentifierTypeStateIssuer
250371900MedicaidMD
66770001OtherCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230904000093 MD Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 0941294391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee-Llacer and Lee-Llacer, MD PAGroup PAC ID 9436136157, 2 clinicians

Practice addresses (Care Compare)

818 Bayside Dr
Stevensville, MD 21666-2734
Phone (202) 403-0508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0012962MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee-Llacer & Lee-Llacer, MD,PA Anesthesiology CurrentSince Sep 3, 2025 Accepting new patients
Acute Care Group, LLC Critical Care Medicine PastSince Jan 9, 2009 Accepting new patients

Locations

8909 Old Branch Ave
Clinton, MD 20735
Phone (202) 239-5888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1679577092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 OLD BRANCH AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352528",
            "telephone_number": "301-868-7274",
            "fax_number": "301-868-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 BAYSIDE DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662734",
            "telephone_number": "202-239-5888",
            "fax_number": "301-868-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-LLACER",
        "first_name": "ZORAYDA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0012962",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0012962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250371900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "66770001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

Verify at the official NPI Registry.