SAEBOM LEE (MD) – Anesthesiology Physician, NPI 1104034792

SAEBOM LEE (MD) is a healthcare provider. based in Toledo, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 35.093576 (OH). The NPI Number for SAEBOM LEE (MD) is 1104034792

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
SAEBOM LEE (MD)
NPI
1104034792
Phone
(419) 383-5322
Address
3000 ARLINGTON AVE STOP 1108
Enumeration Date
18 May 2007
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136244500
Graduation Year
2010 (16 years ago)
PAC ID
1759435720
Group Practice PAC ID
6901700640
Professional Enrollment ID
I20090811000403
Address ID
OH452552439CI7500XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,268 ANESTHESIOLOGY in OH

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Provider Addresses for SAEBOM LEE (MD)

  • 3000 ARLINGTON AVE STOP 1108

    TOLEDO, OH 436142595

    Phone: (419) 383-5322

    Type: Mailing

  • Glendale Avenue, Harvard Village, Toledo, Lucas County, Ohio, 43609, United States

    TOLEDO, OH 436142426

    Phone: (419) 383-3556

    Fax: (419) 383-3550

    Type: Mailing

  • 3000, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436142595

    Phone: (419) 383-3556

    Fax: (419) 383-3550

    Type: Location

  • 2213 Cherry St

    Toledo, OH 436082792

    Phone: (419) 251-3232

    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: 2022-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090811000403IAnesthesiologyOHTBD
I20221027001792IAnesthesiologyMITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4242$0
00811Anesthesia for other procedure on large bowel using an endoscope3130$0
00910Anesthesia for other procedure on urinary system through urethra2826$0
00813Anesthesia for procedure on small and large bowel using an endoscope2625$0
01402Anesthesia for procedure for total knee joint replacement1919$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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Provider's Procedures

SAEBOM LEE (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYOH36556Insertion of central venous catheter for infusion, patient 5 years or older1313

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: 6901700640View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-KY
-OH
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What NPI should I save for SAEBOM LEE (MD)?
Save NPI 1104034792 if you need a stable reference for SAEBOM LEE (MD).
Does this profile mean SAEBOM LEE (MD) is currently active?
Yes — SAEBOM LEE (MD) appears active in the national provider directory.
What does SAEBOM LEE (MD) treat or focus on?
Patients typically see SAEBOM LEE (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does SAEBOM LEE (MD) practice in Ohio?
You will see Toledo, Ohio on file for SAEBOM LEE (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.