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TAE Y LEE MD
NPI 1821014879
Internal Medicine - Nephrology in Long Beach, CA

Active since July 14, 2006PECOS Enrolled
3300 E SOUTH ST, # 110, LONG BEACH, CA 90805(562) 630-7279(562) 630-8828 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tae Y Lee Md NPPES

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

TAE Y LEE MD (NPI 1821014879) is an individual nephrology provider in Long Beach, California, licensed in California (A50000) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821014879
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameTAE Y LEECredential: MD
Location Address3300 E SOUTH ST, # 110Long Beach, CA 90805
Mailing Address3300 E South St, # 110Long Beach, CA 90805 · (562) 630-7279 · Fax (562) 630-8828
Phone(562) 630-7279
Fax(562) 630-8828
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 20, 2011
✔ NPI 1821014879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A50000
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3300 E SOUTH ST, Long Beach, CA 90805
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING22507
MedicaidGR0060560CA
Medicare ID-Type UnspecifiedW5941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tae Y Lee Md 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.

Medicare Billing Reassignment

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

Moti S Daswani MD Inc
Same address
Nephrology
3300 E SOUTH ST, 110
Long Beach, CA 90805
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1255357315 (562) 630-7279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

DAVID L. VANNIX MD
Surgery
3300 E SOUTH ST, SUITE #203
LAKEWOOD, CA 90805
Los Angeles County (562) 630-8821
JACOB REKEM MD INC
Anesthesiology
3300 E SOUTH ST, STE 107
LAKEWOOD, CA 90805
Los Angeles County (562) 531-2020
LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
Clinic/Center (Ambulatory Surgical)
3300 E SOUTH ST, SUITE 107
LONG BEACH, CA 90805
Los Angeles County (562) 531-2020
DR. RICHARD ARTHUR ROSENBERG DPM
Podiatrist
3300 E SOUTH ST, SUITE #306
LAKEWOOD, CA 90805
Los Angeles County (562) 633-5881
MRS. EMMA L CLAY M.D.
Ophthalmology
3300 E SOUTH ST, 105
LAKEWOOD, CA 90805
Los Angeles County (562) 531-2020
SULTANALI ALIDINA M.D.
Internal Medicine (Hematology & Oncology)
3300 E SOUTH ST, SUITE 209
LAKEWOOD, CA 90805
Los Angeles County (562) 630-3434
JESSE J LICUANAN MD A MEDICAL CORPORATION
Internal Medicine
3300 E SOUTH ST, SUITE 205
LAKEWOOD, CA 90805
Los Angeles County (562) 531-0377
STUMP AND AHMADPOUR
Internal Medicine (Interventional Cardiology)
3300 E SOUTH ST, SUITE 303
LAKEWOOD, CA 90805
Los Angeles County (562) 925-8407

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 Tae Lee's NPI number?

The NPI number for Tae Lee is 1821014879. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Tae Lee located?

Tae Lee practices at 3300 E South St # 110, Long Beach, CA 90805. The listed phone number is (562) 630-7279.

What is Tae Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Tae Lee enrolled in Medicare?

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

Which organization bills Medicare for Tae Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Lee reassigns Medicare benefits to Moti S Daswani MD Inc (Long Beach, CA). 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 Tae Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tae Lee was last updated on September 20, 2011. 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.