Kachiu Cecilia Lee, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD466653 Issued in PA

Practice address

32 Parking PLZ Ste 200
Ardmore, PA 19003-2415

Phone

(610) 645-5551

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, PA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCEBBD

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.

• Nantucket Dermatology, LLC

  • Dermatology Physician
  • Nantucket, MA
  • NPI 1689944811
  Medicare reassignment NPD
• Laser Surgery and Cosmetic Dermatology Centers Inc

  • Dermatology Physician
  • Ardmore, PA
  • NPI 1750666566
  NPD
• Laser Surgery and Cosmetic Dermatology Centers Inc

  • Dermatology Physician
  • Bryn Mawr, PA
  • NPI 1104000512
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1992025381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PARKING PLZ STE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032415",
            "telephone_number": "610-645-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PARKING PLZ STE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032415",
            "telephone_number": "610-645-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KACHIU",
        "middle_name": "CECILIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD14704",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "258397",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD466653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larysa Bilyk, P.C.
• Laser Surgery and Cosmetic Dermatology Centers Inc
• Laurie Tolin, MD
• Keith Lamont Leaphart, D.O.
• Chongah Lee
• Christopher Bruce Leib, LPT
• Kristina Meyrick Lenchner, LPC, NCC, CCTP
• Leonard H Goldsmith DPM
• Susan S. Levine, LCSW, BCD
• Jonathan A. Lewis, MHS, LPC, CAC, CCS

• Dermatology Physician in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.