DR. DAVID LEE (MD) – Gynecology Physician, NPI 1508421314

DR. DAVID LEE (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 25MA12608700 (NJ). The NPI Number for DR. DAVID LEE (MD) is 1508421314

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID LEE (MD)
NPI
1508421314
Phone
(626) 437-6708
Address
911 S PARK ST
Enumeration Date
7 May 2019
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5519961771
Graduation Year
2019 (7 years ago)
PAC ID
5193059285
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20250819001089
Address ID
NJ076011974HA20XXXAVEX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:7State licenses:3Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for DR. DAVID LEE (MD)

  • 911, South Park Street, Kalamazoo, Kalamazoo County, Michigan, 49001, United States

    KALAMAZOO, MI 490015633

    Phone: (626) 437-6708

    Type: Mailing

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 551-0845

    Type: Location

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 551-0845

    Type: Location

  • 541 N Fairbanks Ct Fl 5

    Chicago, IL 606113319

    Phone: (312) 472-8989

    Type: Location

  • 331 NEWMAN SPRINGS RD

    BLDG 2, STE 220

    RED BANK, NJ 077015688

    Phone:

    Type: Mailing

  • 20 PROSPECT AVE

    STE 805

    HACKENSACK, NJ 076011974

    Phone: (551) 996-1771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Medtronic, Inc. ($133).

Total Amount

$255

General + Research + Ownership

Payments

3

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-19

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
I20250819001089IObstetrics/GynecologyNJTBD

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 49001)

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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: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ

Reviews

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Frequently asked questions

What number should I use to identify DR. DAVID LEE (MD) for billing?
Administrative and clinical systems typically use NPI 1508421314 for DR. DAVID LEE (MD).
Is DR. DAVID LEE (MD)'s NPI status active today?
Active status means DR. DAVID LEE (MD)'s NPI record is not deactivated in the public file.
What services align with DR. DAVID LEE (MD)'s listing?
DR. DAVID LEE (MD)'s public classification highlights Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DAVID LEE (MD)?
The directory associates DR. DAVID LEE (MD) with Kalamazoo, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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