LEE RADOSH M.D.
NPI 1174589477
Family Medicine - Addiction Medicine in West Reading, PA

Q: What is Lee Radosh's NPI number?

The NPI number for Lee Radosh is 1174589477. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Lee Radosh's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Lee Radosh was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

301 S 7TH AVE, SUITE 200, WEST READING, PA 19611(610) 988-8198 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Feb 6, 2020, Mar 16, 2018 (3 updates tracked since 2018).

On this page

About Lee Radosh M.d. NPPES

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

LEE RADOSH M.D. (NPI 1174589477) is an individual addiction medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD069663L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Temple University School Of Medicine (1997).

NPPES Registry Identity

NPI1174589477

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameLEE RADOSHCredential: M.D.

Location Address301 S 7TH AVE, SUITE 200West Reading, PA 19611-1410

Mailing AddressPo Box 13579Reading, PA 19612-3579

Phone(610) 988-8198

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 1997

Enumeration DateApril 25, 2006

Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration

NPPES CertifiedJuly 16, 2024

✔ NPI 1174589477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in PA · MD069663L

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD069663L (PA)

301 S 7TH AVE, West Reading, PA 19611

Open in Google Maps ↗

Other Identifiers 1

Medicaid01787097PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Lee Radosh 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 ID8921050527

PECOS Enrollment IDI20050211000245, I20241125002535, I20241223001811

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

Medicare enrollment records show Lee Radosh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group

Same address

Reproductive Endocrinology

301 S 7TH AVE, STE 245
West Reading, PA 19611

Reassigned Medicare billing, Pennsylvania enrollment
1,473 clinicians in this Medicare group

NPI 1366889065 (484) 628-7900

Reading Hospital

Same address

Family Medicine

301 S 7TH AVE STE 200
West Reading, PA 19611

Reassigned Medicare billing, Pennsylvania enrollment
35 clinicians in this Medicare group

NPI 1194883306 (484) 628-8198

Ophelia Medical Group Fl, P.A.

51 mi

Addiction Medicine

161 CECIL B MOORE AVE APT 204
Philadelphia, PA 19122

Reassigned Medicare billing, Delaware, Pennsylvania and West Virginia enrollments
Medicare enrollment name: Ophelia Medical Group Fl PA
10 clinicians in this Medicare group

NPI 1588244750 (215) 585-2144

Ophelia Medical Group Nj PC

74 mi

Psychiatry

230 US HIGHWAY 206, BUILDING 3, SUITE #4
Flanders, NJ 07836

Reassigned Medicare billing, New Jersey enrollment
19 clinicians in this Medicare group

NPI 1346906179 (215) 585-2144

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 3

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.

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

75 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services15 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.

23 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

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.

ANKUSH LAHOTI M.D.

Internal Medicine (Interventional Cardiology)

301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

Berks County (610) 375-6565

RANDALL S. WINN M.D.

Specialist

301 S 7TH AVE, STE 135
WEST READING, PA 19611

Berks County (610) 988-8929

MR. TIMOTHY W MYERS PT

Physical Therapist

301 S 7TH AVE, STE 3220
WEST READING, PA 19611

Berks County (610) 376-8671

BILAL SAULAT M.D.,

Psychiatry & Neurology (Neurology)

301 S 7TH AVE, SUITE 210
READING, PA 19611

Berks County (484) 628-4656

GAIL A. LUECKE M.D.

Specialist

301 S 7TH AVE, STE 135
WEST READING, PA 19611

Berks County (610) 988-8108

DR. JOHN D CASEY MD

Orthopaedic Surgery

301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611

Berks County (610) 376-8671

LEONARD J MARCHINSKI MD PC-PHYSICAL THERAPY

Physical Therapist

301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611

Berks County (610) 375-6147

EARL J HOPE M.D.

Internal Medicine (Interventional Cardiology)

301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

Berks County (610) 375-6565

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 Lee Radosh's NPI number?

The NPI number for Lee Radosh is 1174589477. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Lee Radosh located?

Lee Radosh practices at 301 S 7th Ave Suite 200, West Reading, PA 19611. The listed phone number is (610) 988-8198.

What is Lee Radosh's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Lee Radosh enrolled in Medicare?

Yes. Lee Radosh 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 Lee Radosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Radosh reassigns Medicare benefits to 4 organizations: Tower Health Medical Group (West Reading, PA), Reading Hospital (West Reading, PA), Ophelia Medical Group Fl, P.A. (Philadelphia, PA) and Ophelia Medical Group Nj PC (Flanders, NJ). 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 Lee Radosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Radosh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lee Radosh 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.

Is Lee Radosh affiliated with any hospitals?

According to CMS data, Lee Radosh is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Lee Radosh was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.