Individual provider Active NPI

Tina Xiang Lee, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1982924619
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62301 Issued in AZ
Practice address
2260 Morse Rd
Columbus, OH 43229-5858
Phone
(614) 702-7899
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62301 AZ Primary
Family Medicine Physician 207Q00000X 35-120250 OH

Addresses

Primary practice location

2260 Morse Rd
Columbus, OH 43229-5858

Mailing address

4045 E Bell Rd
Ste 134
Phoenix, AZ 85032-2234
Phone (614) 702-7899

Other practice location 1

3617 Heritage Club Dr
Hilliard, OH 43026-1313
Phone (614) 234-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210323001704 AZ Practitioner - Family Practice 1759521842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 134
Phoenix, AZ 85032-2234
Phone (602) 569-2790

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62301AZMDFamily Medicine Physician
35-120250OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Columbus Ohio, LLC CurrentSince Mar 19, 2020 Accepting new patients
Tina Lee Medical LLC Family Medicine CurrentSince Feb 4, 2021 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Mar 19, 2020 Accepting new patients

Locations

4045 E Bell Rd
Ste 134
Phoenix, AZ 85032
Phone (602) 569-2790

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1982924619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322234",
            "telephone_number": "614-702-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295858",
            "telephone_number": "614-702-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 Heritage Club Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261313",
            "country_code": "US",
            "telephone_number": "614-234-9777",
            "fax_number": "614-234-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TINA",
        "middle_name": "XIANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "62301",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-120250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.