Individual provider Active NPI

Debra Sun-Hee Lee

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1821194333
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
035684 Issued in DC
Practice address
170 W 12TH St
NR 103
New York, NY 10011-8202
Phone
(212) 604-2595
NPI assigned
Sep 15, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 035684 DC Primary

Addresses

Primary practice location

170 W 12TH St
NR 103
New York, NY 10011-8202

Mailing address

170 W 12TH St
NR 103
New York, NY 10011-8202

Other identifiers 1

IdentifierTypeStateIssuer
037153300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 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
I20080605000086 MD Practitioner - Emergency Medicine 8729040464 Reassigns benefits to 1 organization
I20160602000649 VA Practitioner - Emergency Medicine 8729040464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Virginia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035684DCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 31, 2021 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Metro Emergency Medical Association PLLC Emergency Medicine Past Accepting new patients
Emergency Medical Metro P C Emergency Medicine Past Accepting new patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients

Locations

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 6

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1821194333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 12TH ST",
            "address_2": "NR 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 12TH ST",
            "address_2": "NR 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118202",
            "telephone_number": "212-604-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEBRA",
        "middle_name": "SUN-HEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "035684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037153300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.