DR. TIDA KUMBALASIRI LEE M.D., PH.D.
NPI 1619105517
Internal Medicine - Infectious Disease in Jacksonville, NC

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
1000 BRABHAM AVE, JACKSONVILLE, NC 28546(910) 937-2570(910) 219-1270 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2022, Mar 31, 2021 (2 updates tracked since 2021).

About Dr. Tida Kumbalasiri Lee M.d., Ph.d. NPPES

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

DR. TIDA KUMBALASIRI LEE M.D., PH.D. (NPI 1619105517) is an individual infectious disease provider in Jacksonville, North Carolina, licensed in North Carolina (2022-02736) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619105517
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. TIDA KUMBALASIRI LEECredential: M.D., PH.D.
Location Address1000 BRABHAM AVEJacksonville, NC 28546-5003
Mailing Address1202 Medical Center DrWilmington, NC 28401-7307 · (910) 617-6705 · Fax (910) 431-4048
Fax(910) 219-1270
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1619105517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in NC · 2022-02736 Licensed in VA · 0101248380
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1000 BRABHAM AVE, Jacksonville, NC 28546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tida Kumbalasiri Lee M.d., Ph.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 ID9537307327
PECOS Enrollment IDI20221208000940
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.

Areas of Expertise CMS Part B claims 31

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
723 services244 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
488 services217 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
319 services198 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
259 services171 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
222 services155 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
222 services155 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 15

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

Family Medicine
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Physician Assistant
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Family Medicine
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Nurse Practitioner
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Physician Assistant
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Physician Assistant
1000 BRABHAM AVE
JACKSONVILLE, NC 28546
Podiatrist (Foot & Ankle Surgery)
1000 BRABHAM AVE
JACKSONVILLE, NC 28546

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 Tida Lee's NPI number?

The NPI number for Tida Lee is 1619105517. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Tida Lee located?

Tida Lee practices at 1000 Brabham Ave, Jacksonville, NC 28546. The listed phone number is (910) 937-2570.

What is Tida Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Tida Lee enrolled in Medicare?

Yes. Tida 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.

What insurance does Tida Lee accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Tida 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.

Is Tida Lee affiliated with any hospitals?

According to CMS data, Tida Lee is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tida Lee was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.