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DR. SAMUEL THEODORE LEE M.D.
NPI 1184989436
Pediatrics - Neonatal-Perinatal Medicine in Green Bay, WI

Active since July 11, 2012PECOS Enrolled
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8000 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Dec 5, 2022, Jul 28, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Samuel Theodore Lee M.d. NPPES

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

DR. SAMUEL THEODORE LEE M.D. (NPI 1184989436) is an individual neonatal-perinatal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (22495) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1184989436
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SAMUEL THEODORE LEECredential: M.D.
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 288-8000
Sole ProprietorYes
Enumeration DateJuly 11, 2012
Last NPPES UpdateJune 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1184989436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in WI · 22495
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 125.061701 (IL)
2845 GREENBRIER RD, Green Bay, WI 54311
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Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 655-2274

Other Identifiers 1

Medicaid100203539WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Theodore Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

AMRITHA CHANDRAHASA KARKERA M.D.
Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
MRS. AMY MACH SCHOENEBECK MS, CGC
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4180
GERALD WILLIAM ECKARDT MD
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8350
ELLEN LINSKENS PT
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8000
KATIE LYNN LLOYD DO
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
BRADLEY JAY FEDDERLY MD
Hospitalist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-8100
EDWARD C VOGEL MD
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-4060
JOHN JEROME KLINKHAMMER CRNA
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311
Brown County (920) 288-3388

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1184989436. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Samuel Lee located?

Samuel Lee practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8000.

What is Samuel Lee's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Samuel Lee enrolled in Medicare?

Yes. Samuel Lee is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 1 other insurer list Samuel 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 Samuel Lee was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.