TED LEE (MD) – Pediatric Urology Physician, NPI 1366855678

TED LEE (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 291363 (MA). The NPI Number for TED LEE (MD) is 1366855678

Main info

Male
Sole Proprietor
12 Years Of Experience
Name
TED LEE (MD)
NPI
1366855678
Phone
(734) 615-0563
Address
1500 E MEDICAL CENTER DR
Enumeration Date
4 June 2014
Last Update Date
14 April 2022

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6173556000
Graduation Year
2014 (12 years ago)
PAC ID
9032427372
Group Practice PAC ID
3173627411
Professional Enrollment ID
I20220614002108
Address ID
MA021155724BO300XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

469 UROLOGY in MI

Provider Addresses for TED LEE (MD)

  • 1500 E MEDICAL CENTER DR

    3875 TAUBMAN CTR, SPC 5330

    ANN ARBOR, MI 481095000

    Phone: (734) 615-0563

    Type: Mailing

  • 300 LONGWOOD AVE

    BOSTON, MA 021155724

    Phone: (617) 355-6000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $4,000.

Total Amount is formed as General ($4,000) + Research ($0) + Ownership ($0) = $4,000.

Last reported payment date: 2024-01-26 • Largest payer in this snapshot: Teleflex LLC ($4,000).

Total Amount

$4,000

General + Research + Ownership

Payments

1

Total payment records

General Amount

$4,000

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Teleflex LLC$4,000
View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-14

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
I20220614002108IUrologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48109)

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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: 3173627411View full group profile
NameSpecialtyState
Urology, Pediatric MedicineMA
Urology, Pediatric MedicineMA
Urology, Pediatric MedicineMA
U R O L O G YMA
U R O L O G YMA
U R O L O G YPA
Pediatric MedicineMA
Urology, Pediatric MedicineMD
U R O L O G YMA
Urology, Pediatric MedicineMA

Reviews

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Frequently asked questions

Can I verify TED LEE (MD) with an NPI only?
You can start verification with NPI 1366855678 for TED LEE (MD), then check state licensing separately.
Can I rely on TED LEE (MD) being an active provider?
As of the registry snapshot, TED LEE (MD) is marked active.
What is TED LEE (MD) best known for clinically?
Directory data describes TED LEE (MD) with Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
Where is TED LEE (MD) based?
TED LEE (MD) is tied to Ann Arbor, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about TED LEE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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