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KIMBERLY J LEE MD
NPI 1669622122
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Los Angeles, CA

Active since September 22, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2203144 · Waiver
200 MEDICAL PLAZA, 550, LOS ANGELES, CA 90025(310) 882-5656 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly J Lee Md NPPES

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

KIMBERLY J LEE MD (NPI 1669622122) is an individual otolaryngology/facial plastic surgery provider in Los Angeles, California, licensed in California (A89400) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 1, 2026, and is a graduate of Stanford University School Of Medicine (2003).

NPPES Registry Identity

NPI1669622122
Entity TypeIndividualFemale
Primary Taxonomy207YX0905X
Provider Legal NameKIMBERLY J LEECredential: MD
Location Address200 MEDICAL PLAZA, 550Los Angeles, CA 90025
Mailing Address200 Medical Plaza, 550Los Angeles, CA 90025 · (310) 882-5656
Phone(310) 882-5656
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2003
Enumeration DateSeptember 22, 2008
Last NPPES UpdateNovember 24, 2010
✔ NPI 1669622122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · A89400
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
200 MEDICAL PLAZA, Los Angeles, CA 90025
Open in Google Maps ↗

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

Kimberly J Lee Md 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 ID9739233909
PECOS Enrollment IDI20090822000033
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.

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 05D2203144

Kimberly J Lee MD · Beverly Hills, CA
Active · expires Dec 1, 2026
CLIA Number05D2203144
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorKimberly J. Lee
Laboratory Phone(310) 882-5656
Laboratory LocationKimberly J Lee MD416 N Bedford Drive Suite 204, Beverly Hills, CA 90210
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services21 patients

Other Providers at the Same Location NPPES

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

PATRICK LEC
Urology
200 MEDICAL PLAZA, SUITE 140
LOS ANGELES, CA 90025
Los Angeles County (310) 794-7700

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 Kimberly Lee's NPI number?

The NPI number for Kimberly Lee is 1669622122. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Kimberly Lee located?

Kimberly Lee practices at 200 Medical Plaza 550, Los Angeles, CA 90025. The listed phone number is (310) 882-5656.

What is Kimberly Lee's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Kimberly Lee enrolled in Medicare?

Yes. Kimberly 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.

Does Kimberly Lee hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2203144) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kimberly Lee was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.