MR. CALVIN KAILUN LEE (NP) – Adult Health Nurse Practitioner, NPI 1003117136

MR. CALVIN KAILUN LEE (NP) is a healthcare provider. based in New york, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. F305331 (NY). The NPI Number for MR. CALVIN KAILUN LEE (NP) is 1003117136

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. CALVIN KAILUN LEE (NP)
NPI
1003117136
Phone
(212) 305-0914
Address
622 W 168TH ST FL 14
Enumeration Date
5 November 2010
Last Update Date
26 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2123059876
Graduation Year
2010 (16 years ago)
PAC ID
0143494153
Group Practice PAC ID
8527972546
Professional Enrollment ID
I20111130000643
Address ID
NY100323720NE622XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

16,993 NURSE PRACTITIONER in NY

Provider Addresses for MR. CALVIN KAILUN LEE (NP)

  • 622 W 168TH ST FL 14

    NEW YORK, NY 100323720

    Phone: (212) 305-0914

    Fax: (212) 305-4343

    Type: Mailing

  • 622 W 168TH ST

    NEW YORK, NY 100323720

    Phone: (212) 305-0914

    Fax: (212) 305-4343

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,428.

Total Amount is formed as General ($1,428) + Research ($0) + Ownership ($0) = $1,428.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($566).

Total Amount

$1,428

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2011-11-30

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
I20111130000643INurse PractitionerNYTBD

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 minutes4934$0
99213Established patient office or other outpatient visit, 20-29 minutes2819$0
View full utilization report →

Insurance plans in this area (ZIP 10032)

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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: 8527972546View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MR. CALVIN KAILUN LEE (NP)?
Save NPI 1003117136 if you need a stable reference for MR. CALVIN KAILUN LEE (NP).
Is MR. CALVIN KAILUN LEE (NP) active in the national directory?
MR. CALVIN KAILUN LEE (NP)'s public NPI profile is in an active state.
Does MR. CALVIN KAILUN LEE (NP) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for MR. CALVIN KAILUN LEE (NP). Clinical services aligned with this taxonomy classification.
What location shows for MR. CALVIN KAILUN LEE (NP)?
We surface New York, New York for MR. CALVIN KAILUN LEE (NP) based on available NPPES addresses.
What if New York, New York seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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