Individual provider Active NPI

David Kyungjin Lee, M.D.

  • Family Medicine Physician
  • Dublin, OH
National Provider Identifier
1043259799
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35085399-L Issued in OH
Practice address
6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone
(614) 923-0400
NPI assigned
Jun 6, 2006
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35085399-L OH Primary
Family Medicine Physician 207Q00000X 058692 GA

Addresses

Primary practice location

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600

Mailing address

1166 Dublin Rd
Suite 400
Columbus, OH 43215-1030
Phone (614) 544-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050812000382 OH Practitioner - Family PracticePractitioner - Emergency Medicine 8123058815 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085399-LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Employer Services, LLC Family Medicine CurrentSince Jan 9, 2019 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Nov 8, 2010 Accepting new patients
Marion Physician Billing LLC Past Accepting new patients
Dublin Urgent Care Inc Past Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Urgent Medical Care of Pickerington Past Accepting new patients

Locations

5555 Cleveland Ave
Columbus, OH 43231
Phone (614) 788-5280

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5610 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 476-1112

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

24 Hidden Ravines Dr
Powell, OH 43065
Phone (614) 433-9200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1043259799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 DUBLIN RD",
            "address_2": "SUITE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151030",
            "telephone_number": "614-544-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-923-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "KYUNGJIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35085399-L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.