DR. MIMI SHISHOU LEE M.D.
NPI 1164684973
Psychiatry & Neurology - Neurology in Ventura, CA

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
300 HILLMONT AVE, VENTURA, CA 93003(805) 652-6000 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Jun 23, 2025, Jul 17, 2024 and 9 more (12 updates tracked since 2016).

About Dr. Mimi Shishou Lee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIMI SHISHOU LEE M.D. (NPI 1164684973) is an individual neurology provider in Ventura, California, licensed in California (A130577) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164684973
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MIMI SHISHOU LEECredential: M.D.
Location Address300 HILLMONT AVEVentura, CA 93003-1651
Mailing Address17360 Brookhurst StreetFountain Valley, CA 92708-3720 · (877) 844-0012 · Fax (714) 665-4680
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 2, 2008
Last NPPES UpdateDecember 15, 202512 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1164684973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CA · A130577✔ Licensed in WA · MD60963884✔ Licensed in IN · 01088762A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
300 HILLMONT AVE, Ventura, CA 93003

Secondary Practice Locations 4

Location 117360 Brookhurst StreetFountain Valley, CA 92708-3720 · Phone (877) 844-0012 · Fax (714) 665-4680
Location 2300 Medical Plaza # B200Los Angeles, CA 90095-4402 · Phone (310) 794-1195
Location 31300 Vermont Ave, Doctor Tower 600Los Angeles, CA 90027 · Phone (323) 913-4351 · Fax (323) 913-4351
Location 42701 W Alameda Ave, Suite 202Burbank, CA 91505-4402 · Phone (818) 843-8184 · Fax (818) 843-4914

Other Identifiers 1

Other1164684973CA · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mimi Shishou Lee M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587883475
PECOS Enrollment IDI20140908001279
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

23

Medicare enrollment records show Mimi Lee reassigns Medicare billing to 23 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
300 HILLMONT AVE STE 302
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
Neurology
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California, Washington and Indiana enrollments
  • Also billed through NPI 1669223830 (Washington), NPI 1033046610 (Indiana)
  • 117 clinicians in this Medicare group
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
Neurology
950 EAST 3RD STREET, #1408
Los Angeles, CA 90013
  • Reassigned Medicare billing, California enrollment
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Neurology
7781 GARFIELD AVE
Huntington Beach, CA 92648
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
Internal Medicine
625 THE CITY DR S STE 320
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
272 services145 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
199 services192 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
25 services25 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers11 claims18 services$2.42 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$19.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Pediatrics)
300 HILLMONT AVE
VENTURA, CA 93003
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Nurse Practitioner (Family)
300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003
Counselor (Mental Health)
300 HILLMONT AVE
VENTURA, CA 93003
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Nurse Practitioner (Family)
300 HILLMONT AVE
VENTURA, CA 93003
Registered Nurse
300 HILLMONT AVE
VENTURA, CA 93003
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE
VENTURA, CA 93003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Lee's NPI number?

The NPI number for Mimi Lee is 1164684973. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Mimi Lee located?

Mimi Lee practices at 300 Hillmont Ave, Ventura, CA 93003. The listed phone number is (805) 652-6000.

What is Mimi Lee's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mimi Lee enrolled in Medicare?

Yes. Mimi Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mimi Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Lee reassigns Medicare benefits to 23 organizations: County Of Ventura (Ventura, CA), Cep America - Neurology PC (Santa Barbara, CA), Providence Saint Johns Medical Foundation (Santa Monica, CA), Providence Medical Institute (Torrance, CA), Mimi Lee Medical Group Inc (Los Angeles, CA) and 18 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mimi Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mimi Lee accept?

Health plans from Blue Cross and Blue Shield of Montana, BlueCross BlueShield of Tennessee, Cigna Healthcare, Moda Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Mimi Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mimi Lee was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.