KELVIN LEE RD, CDN
NPI 1568843803
Dietitian, Registered - Nutrition, Metabolic in Endwell, NY

Active since June 12, 2015Accepts Medicare Assignment
84.63/100
CMS Quality Rating
800 HOOPER RD, ENDWELL, NY 13760(607) 757-0444(607) 748-8984 Get Directions Write a Review

NPPES record last updated: December 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelvin Lee Rd, Cdn NPPES

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

KELVIN LEE RD, CDN (NPI 1568843803) is an individual nutrition, metabolic provider in Endwell, New York, licensed in New York (007771) and active in the NPI registry since June 2015. He is affiliated with United Health Services Hospitals, Inc and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568843803
Entity TypeIndividualMale
Primary Taxonomy133VN1006X
Provider Legal NameKELVIN LEECredential: RD, CDN
Location Address800 HOOPER RDEndwell, NY 13760-1560
Mailing Address33 Lewis Rd, 2nd FloorBinghamton, NY 13905-1048
Fax(607) 748-8984
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2015
Last NPPES UpdateDecember 10, 2016
✔ NPI 1568843803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in NY · 007771
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
800 HOOPER RD, Endwell, NY 13760

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

Kelvin Lee Rd, Cdn 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 ID6608189410
PECOS Enrollment IDI20150723006901

Medicare Billing Reassignment

Medicare enrollment records show Kelvin Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES 16

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

Audiologist
800 HOOPER RD, SUITE 370
ENDWELL, NY 13760
Physical Medicine & Rehabilitation
800 HOOPER RD, SUITE 330
ENDWELL, NY 13760
Pharmacist
800 HOOPER RD, SUITE 500
ENDWELL, NY 13760
Internal Medicine
800 HOOPER RD
ENDWELL, NY 13760
Internal Medicine
800 HOOPER RD
ENDWELL, NY 13760
Pharmacy
800 HOOPER RD, SUITE 500
ENDWELL, NY 13760
Physician Assistant
800 HOOPER RD
ENDWELL, NY 13760
Nurse Practitioner (Family)
800 HOOPER RD
ENDWELL, NY 13760

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 Kelvin Lee's NPI number?

The NPI number for Kelvin Lee is 1568843803. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Kelvin Lee located?

Kelvin Lee practices at 800 Hooper Rd, Endwell, NY 13760. The listed phone number is (607) 757-0444.

What is Kelvin Lee's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Kelvin Lee enrolled in Medicare?

Yes. Kelvin 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 organization bills Medicare for Kelvin Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Lee reassigns Medicare benefits to United Health Services Hospitals, Inc. (Johnson City, NY). The 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 Kelvin Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelvin Lee affiliated with any hospitals?

According to CMS data, Kelvin Lee is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kelvin Lee was last updated on December 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.