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DR. SAM M LEE M.D.
NPI 1275637654
Pediatrics - Pediatric Cardiology in Little Rock, AR

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY # 512-3, LITTLE ROCK, AR 72202(501) 364-1479(804) 828-8517 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sam M Lee M.d. NPPES

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

DR. SAM M LEE M.D. (NPI 1275637654) is an individual pediatric cardiology provider in Little Rock, Arkansas, licensed in Arkansas (E-12039) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1998).

NPPES Registry Identity

NPI1275637654
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SAM M LEECredential: M.D.
Location Address1 CHILDRENS WAY # 512-3Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 512-3Little Rock, AR 72202-3500 · (501) 364-1479 · Fax (501) 364-3667
Phone(501) 364-1479
Fax(804) 828-8517
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1998
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1275637654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in AR · E-12039✔ Licensed in VA · 0101238427
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 0101238427 (VA)
1 CHILDRENS WAY # 512-3, Little Rock, AR 72202
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Other Identifiers 1

Medicaid234430001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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. Sam M 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 ID4587697461
PECOS Enrollment IDI20190624001935
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

3

Medicare enrollment records show Sam Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC
Same address
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526
University Of Arkansas For Medical Sciences
Same address
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1467528026 (Arkansas)
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100
Arkansas Childrens Hospital
3.4 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

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

Other Providers at the Same Location NPPES 17

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

JOSHUA A DAILY M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. MARKUS STEPHAN RENNO MD, MPH
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5262
RENEE BORNEMEIER MD
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. RUPAL TANSUKHLAL BHAKTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
BETHANY B JENNINGS CNP
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. DANIEL J FIEDOREK MD
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
STEPHEN DALBY M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. SHAE ANDERSON MERVES M.D.
Pediatrics (Pediatric Cardiology)
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479

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 Sam Lee's NPI number?

The NPI number for Sam Lee is 1275637654. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Sam Lee located?

Sam Lee practices at 1 Childrens Way # 512-3, Little Rock, AR 72202. The listed phone number is (501) 364-1479.

What is Sam Lee's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sam Lee enrolled in Medicare?

Yes. Sam 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 Sam Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Lee reassigns Medicare benefits to 3 organizations: Arkansas Childrens Professional Services Organization LLC (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). 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 Sam Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Lee accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sam 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 Sam Lee was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.