DR. LEE ERIC TANNENBAUM M.D.
NPI 1528030004
Family Medicine - Addiction Medicine in Bel Air, MD

Q: What is Lee Tannenbaum's NPI number?

The NPI number for Lee Tannenbaum is 1528030004. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Lee Tannenbaum'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 Tannenbaum was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 February 07, 2006PECOS Enrolled

2012 S TOLLGATE RD, STE 106, BEL AIR, MD 21015(410) 569-9429(410) 569-9423 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lee Eric Tannenbaum M.d. NPPES

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

DR. LEE ERIC TANNENBAUM M.D. (NPI 1528030004) is an individual addiction medicine provider in Bel Air, Maryland, licensed in Maryland (D39763) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528030004

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameDR. LEE ERIC TANNENBAUMCredential: M.D.

Location Address2012 S TOLLGATE RD, STE 106Bel Air, MD 21015-5900

Mailing Address2012 S Tollgate Rd, Ste 106Bel Air, MD 21015-5900 · (410) 569-9429 · Fax (410) 569-9423

Phone(410) 569-9429

Fax(410) 569-9423

Sole ProprietorNo

Enumeration DateFebruary 7, 2006

Last NPPES UpdateMay 22, 2008

✔ NPI 1528030004 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 MD · D39763

Definition

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

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License D39763 (MD)

2012 S TOLLGATE RD, Bel Air, MD 21015

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Other Identifiers 2

Medicare ID-Type Unspecified927AMD · Medicare

Medicare UPINF00184MD

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. Lee Eric Tannenbaum 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21015 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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.

GROWING SMILES OF HAVRE DE GRACE LLC

Dentist (Orthodontics and Dentofacial Orthopedics)

2012 S TOLLGATE RD, STE 212
BEL AIR, MD 21015

Harford County (410) 569-6700

BEL AIR CENTER FOR PLASTIC AND HAND SURGERY

Plastic Surgery (Surgery of the Hand)

2012 S TOLLGATE RD, SUITE 100
BEL AIR, MD 21015

Harford County (410) 569-5155

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Orthopaedic Surgery

2012 S TOLLGATE RD, SUITE 109
BEL AIR, MD 21015

Harford County (410) 569-3690

KAYNAAT SINGH DDS

Dentist (General Practice)

2012 S TOLLGATE RD
BEL AIR, MD 21015

Harford County (443) 512-0444

DR. MATHEW A. THOMAS M.D.

Surgery (Plastic and Reconstructive Surgery)

2012 S TOLLGATE RD, SUITE 100
BEL AIR, MD 21015

Harford County (410) 569-5155

MISS CZAREYNA PAJARON CARCELLAR CRNP

Nurse Practitioner (Adult Health)

2012 S TOLLGATE RD
BEL AIR, MD 21015

Harford County (443) 484-2828

GROWING SMILES P.A.

Dentist (Pediatric Dentistry)

2012 S TOLLGATE RD, SUITE 212
BEL AIR, MD 21015

Harford County (410) 569-6700

BEL AIR CENTER FOR PLASTIC AND HAND SURGERY, LLC

Durable Medical Equipment & Medical Supplies

2012 S TOLLGATE RD, SUITE 100
BEL AIR, MD 21015

Harford County (410) 569-5155

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 Tannenbaum's NPI number?

The NPI number for Lee Tannenbaum is 1528030004. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Lee Tannenbaum located?

Lee Tannenbaum practices at 2012 S Tollgate Rd Ste 106, Bel Air, MD 21015. The listed phone number is (410) 569-9429.

What is Lee Tannenbaum's specialty?

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

Is Lee Tannenbaum enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lee Tannenbaum was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.