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Deactivated NPI 1750352431 Deactivated / Inactive NPI Male Practitioner

Dr. Leslie Manuel Lee , MD

Internal Medicine • Edgewater, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leslie Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2006
NPI Deactivation Date November 11, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Lee, MD was a registered Internal Medicine practicing in Edgewater, FL. Throughout an active medical career spanning 17 years, Dr. Lee provided care at the practice location at 2568 S RIDGEWOOD AVE until profile deactivation on 2023-11-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, face-to-face behavioral counseling for obesity, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2568 S Ridgewood Ave
Suite 5

Edgewater, FL 321415980

Telephone 3864284640
Fax 3864261409
Associated Practice Facility / Clinic
🏢 Charles D Martin Jr Dc Pa Facility NPI 1487749297

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edgewater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Edgewater, FL (10650 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
207 119 $132.22 $100.73
99213 Established patient office or other outpatient visit, typically 15 minutes
149 91 $119.60 $68.21
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
17 16 $48.53 $24.19

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME0063341

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1174594295

Doctor of Osteopathic Medicine (D.O.)

Grace Davis , APRN

Nurse Practitioner - Family

NPI 1376181057

Advanced Practice Registered Nurse

Dr. Luis Moreno , MD

General Practice

NPI 1538372958

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2014

Registered at 2568 S RIDGEWOOD AVE, SUITE 5, EDGEWATER, FL 321415980 (Tel: 3864284640)

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Updated Business Mailing Address June 17, 2014

Registered at 2568 S RIDGEWOOD AVE, SUITE 5, EDGEWATER, FL 321415980 (Tel: 3864284640)

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Provider Name / Credentials Updated June 17, 2014

Recorded as LESLIE LEE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Internal Medicine (License #ME0063341 in FL)

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Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750352431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: June 17, 2014
Deactivation Date: November 11, 2023

Mailing Address

2568 S Ridgewood Ave, Suite 5

Edgewater, FL 321415980

Phone: 3864284640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.