MARY LEE MD, PC
NPI 1598296485
Clinic/Center - Primary Care in West Bloomfield, MI

Active since March 23, 2017CLIA 23D1074300 · Waiver
33200 W 14 MILE RD, WEST BLOOMFIELD, MI 48322(248) 419-5111 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Lee Md, Pc NPPES

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

MARY LEE MD, PC (NPI 1598296485) is a healthcare organization registered as a primary care in West Bloomfield, Michigan and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Mary S Lee, Physician, as its authorized official.

NPPES Registry Identity

NPI1598296485
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARY LEE MD, PC
Location Address33200 W 14 MILE RDWest Bloomfield, MI 48322-3563
Mailing Address33200 W 14 Mile RdWest Bloomfield, MI 48322-3563 · (248) 419-5111
Organization SubpartNo
Authorized OfficialMary S LeePhysician · (248) 419-5111
Enumeration DateMarch 23, 2017
✔ NPI 1598296485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 43010161252
33200 W 14 MILE RD, West Bloomfield, MI 48322

Other Identifiers 1

Medicare UPING55971MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Lee Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Lee MD, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1932180817
5799 W MAPLE RD STE 163
West Bloomfield, MI 48322
(248) 419-5111
✔ PECOS✔ Accepts Medicare1.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1074300

Mary Lee · West Bloomfield, MI
Active · expires Sep 25, 2027
CLIA Number23D1074300
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorMary Lee
Laboratory Phone(248) 419-5111
Laboratory LocationMary Lee5799 W Maple Road Suite 163, West Bloomfield, MI 48322
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mary Lee MD, PC's NPI number?

The NPI number for Mary Lee MD, PC is 1598296485. It was assigned to this organization in the NPPES registry on March 23, 2017.

Where is Mary Lee MD, PC located?

Mary Lee MD, PC is located at 33200 W 14 Mile Rd, West Bloomfield, MI 48322. The listed phone number is (248) 419-5111.

What is Mary Lee MD, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Mary Lee MD, PC enrolled in Medicare?

Yes. Mary Lee MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Lee MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mary Lee MD, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mary Lee MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1074300) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mary Lee MD, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mary Lee MD, PC 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 Mary Lee MD, PC was last updated on March 23, 2017. 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.