Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Peter Lee, MD

Individual provider Neuroradiology Physician · NPI 1417203951

Dr. Peter Lee, MD practises Diagnostic Radiology in Bay Shore, New York. Graduated from Columbia University College of Physicians and Surgeons in 2012, 14 years ago. Practices with Southside Faculty Medical Affiliates University Faculty Practice Corp, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-4873

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 273043-1 (NY)

Record details

NPI number1417203951
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESAugust 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2012 (14 years in practice)
Group practice Southside Faculty Medical Affiliates University Faculty Practice Corp — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,987
Services billed 5,186 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Southside Faculty Medical Affiliates University Faculty Practice Corp

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 223 clinicians in the practice; 12 are shown here.