Active NPI
Lee Wendel Pace, M.D.
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1790772622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12301
- Practice address
- 1106 N Gilbert Rd
Suite 2 PMB 188
Mesa, AZ 85203-5136 - Phone
- (480) 868-9650
- Fax
- (480) 834-3606
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 12301 | AZ | |
| Internal Medicine Physician | 207R00000X | 12301 | AZ | Primary |
Addresses
Primary practice location
1106 N Gilbert Rd
Suite 2 PMB 188
Mesa, AZ 85203-5136
Mailing address
1106 N Gilbert Rd
Suite 2 PMB 188
Mesa, AZ 85203-5136
Phone (480) 868-9650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212770 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.24 of 100
- Quality
- 66.21
- Improvement activities
- 40
- Cost
- 66.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregg Smith D.O., P.C. | Hospitalist | Past | Accepting new patients |
| Prodigee Inpatient Physicians Group, P.L.L.C. | Hospitalist | Past | Accepting new patients |
Interoperability endpoints
- lee.pace@57560418353156.direct.elationemr.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1619184652
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1447365168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1790772622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 N GILBERT RD",
"address_2": "SUITE 2 PMB 188",
"city": "MESA",
"state": "AZ",
"postal_code": "852035136",
"telephone_number": "480-868-9650",
"fax_number": "480-834-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N GILBERT RD",
"address_2": "SUITE 2 PMB 188",
"city": "MESA",
"state": "AZ",
"postal_code": "852035136",
"telephone_number": "480-868-9650",
"fax_number": "480-834-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "LEE",
"middle_name": "WENDEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "12301",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "12301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212770",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.