Active NPI
Patrick Lee, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
National Provider Identifier
1891993705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A103419
- Practice address
- 8933 Activity Rd
San Diego, CA 92126-4427 - Phone
- (858) 653-6130
- Fax
- (858) 653-6125
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A103419 | CA | Primary |
Addresses
Primary practice location
8933 Activity Rd
San Diego, CA 92126-4427
Mailing address
8933 Activity Rd
San Diego, CA 92126-4427
Phone (858) 653-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A1031490 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, San Diego School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8010 Frost St
FL 2
San Diego, CA 92123-4284
Phone (858) 499-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103419 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| UCLA Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Providence Saint John'S Health Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Saint John'S Tower Imaging Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Tower Imaging Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
8010 Frost St
Fl 2
San Diego, CA 92123
Phone (800) 827-4277
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704
Interoperability endpoints
- plee34137@sharphealthcare.direct-ci.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1356396782
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1013962067
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1891993705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8933 ACTIVITY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264427",
"telephone_number": "858-653-6130",
"fax_number": "858-653-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8933 ACTIVITY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264427",
"telephone_number": "858-653-6130",
"fax_number": "858-653-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A103419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A1031490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.