Individual provider Active NPI

Licheng Lee, M.D.

  • Cardiovascular Disease Physician
  • Pensacola, FL
National Provider Identifier
1881890457
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME110794 Issued in FL
Practice address
125 Baptist Way Ste 3a
Pensacola, FL 32503-2274
Phone
(448) 227-6500
Fax
(850) 857-1747
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME110794 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 3a
Pensacola, FL 32503-2274

Mailing address

1717 N E St
Ste 331
Pensacola, FL 32501-6335

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
I20131002000051 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385878529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1200 Henley LN
Baker, FL 32531-2702
Phone (850) 484-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Apr 1, 2021 Accepting new patients
Baptist Medical Group LLC CurrentSince Apr 1, 2021 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

1200 Henley Ln
Baker, FL 32531
Phone (850) 537-8555

2010 Lewis Turner Blvd
Ft Walton Bch, FL 32547
Phone (850) 863-3000

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

125 Baptist Way
Ste 3A
Pensacola, FL 32503
Phone (448) 227-6500

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081

9400 University Pkwy
Ste 103
Pensacola, FL 32514
Phone (448) 227-6500

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 5

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1881890457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "STE 331",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6500",
            "fax_number": "850-857-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LICHENG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME110794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.