Individual provider Active NPI

Sin Lee, MD

  • Emergency Medicine Physician
  • Dade City, FL
National Provider Identifier
1831194232
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME91558 Issued in FL
Practice address
13100 Fort King Rd
Dade City, FL 33525-5294
Phone
(352) 521-1100
NPI assigned
Jun 14, 2005
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 ME91558 FL Primary

Addresses

Primary practice location

13100 Fort King Rd
Dade City, FL 33525-5294

Mailing address

6930 Gunn Hwy
Tampa, FL 33625-3853
Phone (407) 200-2300

Other identifiers 1

IdentifierTypeStateIssuer
271894400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050329000272 FL Practitioner - Emergency MedicinePractitioner - Family Practice 2163334491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 420-8555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jul 14, 2021 Accepting new patients
South Tampa After Hours Clinic, LLC CurrentSince May 8, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jul 14, 2021 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Englewood Emergency Physicians PA Emergency Medicine Past Accepting new patients
Adirondack Emergency Medicine, PC Emergency Medicine Past Accepting new patients
Tarpon Springs Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Pasco Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

602 S Howard Ave
Tampa, FL 33606
Phone (813) 253-2113

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Organizations & group practices 11

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1831194232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253853",
            "telephone_number": "407-200-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 FORT KING RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255294",
            "telephone_number": "352-521-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME91558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271894400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.