Individual provider Active NPI

Eugene Young Lee, MD

  • Specialist
  • San Mateo, CA
National Provider Identifier
1023049590
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A87261 Issued in CA
Practice address
100 South Ellsworth Avenue
Suite 507
San Mateo, CA 94401-2708
Phone
(650) 342-7432
Fax
(650) 342-3239
NPI assigned
Jul 5, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A87261 CA Primary

Addresses

Primary practice location

100 South Ellsworth Avenue
Suite 507
San Mateo, CA 94401-2708

Mailing address

100 S Ellsworth Ave Ste 507
San Mateo, CA 94401-3929
Phone (650) 342-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000882 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 2163402603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula GastrointestinalGroup PAC ID 6204011471, 3 clinicians

Practice addresses (Care Compare)

100 S Ellsworth Ave
Suite 507
San Mateo, CA 94401-3929
Phone (650) 342-7432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
92.02
Promoting interoperability
100
Improvement activities
40
Cost
79.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy233
Upper gastrointestinal (GI) endoscopy for acid reflux117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87261CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Gastrointestinal CurrentSince Mar 1, 2011 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
John Muir Physician Network Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

100 S Ellsworth Ave
Ste 507
San Mateo, CA 94401
Phone (650) 342-7432

Interoperability endpoints

  • Direct secure messaging: eleemdgi45737@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1023049590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 507",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013929",
            "telephone_number": "650-342-7432",
            "fax_number": "650-342-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ELLSWORTH AVENUE",
            "address_2": "SUITE 507",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012708",
            "telephone_number": "650-342-7432",
            "fax_number": "650-342-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUGENE",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A87261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.