NPIMap

Individual provider Active NPI

Daniel Young Lee, M.D.

  • Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1063522613
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A66022 Issued in CA
Practice address
8008 Frost St.
#200
San Diego, CA 92123-4205
Phone
(858) 292-7527
Fax
(858) 279-4335
NPI assigned
Aug 30, 2006
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A66022 CA Primary

Addresses

Primary practice location

8008 Frost St.
#200
San Diego, CA 92123-4205

Mailing address

8008 Frost St
#200
San Diego, CA 92123-4205
Phone (858) 292-7527

Other identifiers 2

IdentifierTypeStateIssuer
100015329OtherCARAILROAD
00G660220MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000854 CA Practitioner - Gastroenterology 9537119698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8008 Frost St
Suite 200
San Diego, CA 92123-4207
Phone (858) 292-7527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.74 of 100Reported as group
Quality
95.68
Improvement activities
40
Cost
81.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy268
Upper gastrointestinal (GI) endoscopy for acid reflux146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66022CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Digestive Disease Consultants, Inc. a Medical Group Gastroenterology CurrentSince Sep 1, 2008 Accepting new patients
Palomar Health Past Accepting new patients
Nancy R. Kollisch, M.D., Inc. PastSince Sep 1, 2008 Accepting new patients

Locations

15611 Pomerado Rd
Ste 500
Poway, CA 92064
Phone (858) 292-7527

8008 Frost St
Ste 200
San Diego, CA 92123
Phone (858) 292-7527

Interoperability endpoints

  • Direct secure messaging: dlee34098@sharphealthcare.direct-ci.com

Organizations & group practices 4

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1063522613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "#200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-292-7527",
            "fax_number": "858-279-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST.",
            "address_2": "#200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-292-7527",
            "fax_number": "858-279-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "YOUNG",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A66022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "100015329",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G660220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.