KERRY MELENOVSKY LEE (DO) – Obstetrics & Gynecology Physician, NPI 1033452636

KERRY MELENOVSKY LEE (DO) is a healthcare provider. based in East lansing, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 5101020443 (MI). The NPI Number for KERRY MELENOVSKY LEE (DO) is 1033452636

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KERRY MELENOVSKY LEE (DO)
NPI
1033452636
Phone
Not provided
Address
5210 GREENFIELD PKWY
Enumeration Date
2 April 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2489975805
Graduation Year
2017 (9 years ago)
PAC ID
1355607722
Group Practice PAC ID
4183673015
Professional Enrollment ID
I20171117002607
Address ID
MI483076116RO1701XEXXX404

Contacts

Secure Messaging
klee533912@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for KERRY MELENOVSKY LEE (DO)

  • 5210 GREENFIELD PKWY

    EAST LANSING, MI 488234731

    Phone:

    Type: Mailing

  • 1701 SOUTH BLVD E STE 200

    ROCHESTER HILLS, MI 483076116

    Phone: (248) 997-5805

    Fax: (248) 997-5811

    Type: Location

  • 44201 Dequindre Rd

    Troy, MI 480851117

    Phone: (248) 964-1043

    Type: Location

  • 44250 Dequindre Rd

    Sterling Heights, MI 483141002

    Phone: (248) 964-0400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171117002607IObstetrics/GynecologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2821$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 48823)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183673015View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

How is KERRY MELENOVSKY LEE (DO) identified in CMS data?
CMS-hosted NPPES data lists KERRY MELENOVSKY LEE (DO) with NPI 1033452636.
Is KERRY MELENOVSKY LEE (DO) still practicing?
KERRY MELENOVSKY LEE (DO) is currently listed as active in the public NPI registry.
What taxonomy line describes KERRY MELENOVSKY LEE (DO)?
For research purposes, treat KERRY MELENOVSKY LEE (DO) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KERRY MELENOVSKY LEE (DO)?
KERRY MELENOVSKY LEE (DO)'s geographic hint is East Lansing, Michigan in our summary view.
Why does KERRY MELENOVSKY LEE (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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