DR. DEREK TAKYAN LEE M.D, D.P.T.
NPI 1225325772
Radiology - Diagnostic Radiology in Los Angeles, CA

Q: What is Derek Lee's NPI number?

The NPI number for Derek Lee is 1225325772. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Q: What is Derek Lee's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Derek Lee was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 06, 2011PECOS EnrolledAccepts Medicare Assignment

1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033(323) 442-8541 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2021, Sep 10, 2020, Jun 25, 2020 (3 updates tracked since 2020).

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About Dr. Derek Takyan Lee M.d, D.p.t. NPPES

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

DR. DEREK TAKYAN LEE M.D, D.P.T. (NPI 1225325772) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A145718) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2015).

NPPES Registry Identity

NPI1225325772

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. DEREK TAKYAN LEECredential: M.D, D.P.T.

Location Address1500 SAN PABLO ST FL 2Los Angeles, CA 90033-5313

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-8541

Phone(323) 442-8541

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2015

Enumeration DateJuly 6, 2011

Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2020

✔ NPI 1225325772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A145718

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedPhysical TherapistTaxonomy 225100000X · License 26445 (FL)

1500 SAN PABLO ST FL 2, Los Angeles, CA 90033

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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. Derek Takyan Lee M.d, D.p.t. 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 ID547691198

PECOS Enrollment IDI20200514001009

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 Derek Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usc Care Medical Group, Inc

Same address

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

Southern California Permanente Medical Group

5.6 mi

Health Maintenance Organization

2626 COLORADO BLVD
Los Angeles, CA 90041

Reassigned Medicare billing, California enrollment
Also billed through NPI 1396287082 (California)
13,921 clinicians in this Medicare group

NPI 1013409044 (877) 608-0044

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

23 services22 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

19 services19 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ERIC ALLAN WHITE M.D.

Radiology (Diagnostic Radiology)