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KENNETH LEE MD
NPI 1184067852
Student in an Organized Health Care Education/Training Program in Richmond, CA

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
331 HAWK RIDGE DR, RICHMOND, CA 94806(714) 396-9026 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Lee Md NPPES

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

KENNETH LEE MD (NPI 1184067852) is an individual student in an organized health care education/training program in Richmond, California and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184067852
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNETH LEECredential: MD
Location Address331 HAWK RIDGE DRRichmond, CA 94806-5819
Mailing Address331 Hawk Ridge DrRichmond, CA 94806-5819 · (714) 396-9026
Phone(714) 396-9026
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 12, 2013
Last NPPES UpdateDecember 17, 2021
✔ NPI 1184067852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
331 HAWK RIDGE DR, Richmond, CA 94806
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Lee Md 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 ID42578379
PECOS Enrollment IDI20171214001918
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.

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 Kenneth Lee's NPI number?

The NPI number for Kenneth Lee is 1184067852. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Kenneth Lee located?

Kenneth Lee practices at 331 Hawk Ridge Dr, Richmond, CA 94806. The listed phone number is (714) 396-9026.

What is Kenneth Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenneth Lee enrolled in Medicare?

Yes. Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Lee was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.