Individual provider Active NPI

Thomas Dae Lee, M.D.

  • Otolaryngology Physician
  • Glen Burnie, MD
National Provider Identifier
1740249408
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0065705 Issued in MD
Practice address
802 Landmark Dr. Ste 119
Glen Burnie, MD 21061
Phone
(410) 760-8840
Fax
(410) 367-2464
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0065705 MD Primary

Addresses

Primary practice location

802 Landmark Dr. Ste 119
Glen Burnie, MD 21061

Mailing address

802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone (410) 760-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070912000789 MD Practitioner - Otolaryngology 7113954710 Reassigns benefits to 1 organization
I20120417000035 DC Practitioner - Otolaryngology 7113954710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Regional Physicians LLCGroup PAC ID 3274720552, 83 clinicians

Practice addresses (Care Compare)

10285 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-3489
Phone (410) 760-8840

10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979

1132 Annapolis Rd
Odenton, MD 21113-1672
Phone (410) 760-8840

1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337

802 Landmark Dr
Suite 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840

Hospital & facility affiliations

  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
65.13
Promoting interoperability
98
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0065705MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC CurrentSince Nov 1, 2017 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Nov 1, 2017 Accepting new patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Johns Hopkins Regional Physicians LLC Otolaryngology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11085 Little Patuxent Pkwy
Ste 101
Columbia, MD 21044
Phone (410) 997-7979

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone 4107608840203

203 Hospital Dr
Ste 200
Glen Burnie, MD 21061
Phone (410) 553-8362

14201 Laurel Park Dr
Ste 115
Laurel, MD 20707
Phone (301) 490-8083

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

1132 Annapolis Rd
Ste 106
Odenton, MD 21113

Interoperability endpoints

  • Direct secure messaging: tlee53465@direct.hopkinsmedicine.org

Organizations & group practices 5

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 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1740249408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 LANDMARK DR",
            "address_2": "STE 119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-760-8840",
            "fax_number": "410-760-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LANDMARK DR. STE 119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-760-8840",
            "fax_number": "410-367-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "THOMAS",
        "middle_name": "DAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0065705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.