Individual provider Active NPI

Sang Mi Lee, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1740429372
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
41382 Issued in AZ
Practice address
300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone
(602) 234-1803
Fax
(602) 234-3748
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 41382 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449

Mailing address

300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Phone (602) 234-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090707000541 AZ Practitioner - Anesthesiology 5597816314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

1500 S Dobson Rd
Suite 101
Mesa, AZ 85202-4722
Phone (480) 412-3577

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (623) 683-5000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41382AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pca Anesthesia Anesthesiology CurrentSince Dec 1, 2015 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Apr 6, 2019 Accepting new patients
Sjhmc Physician Services Past Accepting new patients

Locations

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

2901 N Central Ave
Ste 500
Phoenix, AZ 85012
Phone (602) 744-4765

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

300 W Clarendon Ave
Ste 142
Phoenix, AZ 85013
Phone (602) 234-1803

20401 N 73rd St
Ste 105
Scottsdale, AZ 85255
Phone (480) 505-3484

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 2

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1740429372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "SUITE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133449",
            "telephone_number": "602-234-1803",
            "fax_number": "602-234-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "SUITE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133449",
            "telephone_number": "602-234-1803",
            "fax_number": "602-234-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG MI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "41382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.