Kevin D Lee, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME164190 Issued in FL

Practice address

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Phone

(281) 766-0959

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, OR2 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

Specialty

Diagnostic RadiologyAlso: Interventional Pain Management

Education

Washington University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Wausau SCGroup PAC ID 7618869587, 23 clinicians

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score

84.53 of 100Reported as group

Quality

69.07

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

78.06 of 100Reported as group

Quality

72.79

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.43 of 100Reported as group

Quality

98.74

Improvement activities

40

Cost

83.11

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  NM

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Wausau, SC

  • Diagnostic Radiology Physician
  • Wausau, WI
  • NPI 1588679450

  NM

  Medicare reassignment Care Compare group NPD
• Santa Fe Radiology PC

  • Diagnostic Radiology Physician
  • Santa Fe, NM
  • NPI 1760402127
  Medicare reassignment NPD
• Santa Fe Imaging LLC

  • Clinic/Center
  • Santa Fe, NM
  • NPI 1013937408
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Wausau Hospital Inc

  dba Aspirus Edgar Clinic

  • Clinic/Center
  • Edgar, WI
  • NPI 1447580725

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital Inc

  dba Aspirus Dermatology Clinic

  • Dermatology Physician
  • Wausau, WI
  • NPI 1477883759

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc

  dba Aspirus Imaging - Westwood

  • Radiology Clinic/Center
  • Wausau, WI
  • NPI 1780014407

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Outpatient Therapies - Pediatrics

  • Rehabilitation Clinic/Center
  • Wausau, WI
  • NPI 1083955165

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Plover Clinic

  • Family Medicine Physician
  • Stevens Point, WI
  • NPI 1275886749

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Regional Cancer Center

  • Clinic/Center
  • Wausau, WI
  • NPI 1356576490

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Wausau, WI
  • NPI 1558363986
  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Plover Hospital

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1598375271
  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Wausau, WI
  • NPI 1902923170
  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  dba Aspirus Infectious Disease

  • Clinic/Center
  • Wausau, WI
  • NPI 1952921405

  Hospital

  Care Compare affiliation
• Bay County Health System, LLC

  dba Ascension Sacred Heart Bay

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  dba Ascension Sacred Heart Pensacola

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1861450736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054754",
            "country_code": "US",
            "telephone_number": "505-983-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Pine Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014102",
            "country_code": "US",
            "telephone_number": "715-847-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "85620-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301513963",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "227098",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME164190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insoo Lotus Lee
• Jaden Alexander Lee
• Jane M Lee, B.S. OTR/L
• John H Lee, MD
• Joseph Lee
• Logan Lee
• Megan Lee
• Melanie Lee
• Rachel Lee
• Seo Lee

• Diagnostic Radiology Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.