Dr. Peter Jae Lee, M.D.
Urology in Bloomfield Hills, MI. Individual provider (NPI-1).
NPI number1124126487
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1124126487
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Jae Lee
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2006
- Last updated
- Feb 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - UROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 4301087175 | MI | Yes |
Practice location
3773 Walbri DrBloomfield Hills, MI 48304-2471
Phone 978-697-9771
Mailing address
3773 Walbri DrBloomfield Hills, MI 48304-2471
Phone 978-697-9771
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Urology Physician providers in Bloomfield Hills, MI
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.