Individual provider Active NPI

Sung Bae Jee, M.D.

  • Family Medicine Physician
  • Methuen, MA
National Provider Identifier
1073889226
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17111 Issued in NH
Practice address
386 Merrimack St Ste 1C
Methuen, MA 01844-5886
Phone
(978) 688-1220
Fax
(978) 688-1330
NPI assigned
Mar 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17111 NH Primary

Addresses

Primary practice location

386 Merrimack St Ste 1C
Methuen, MA 01844-5886

Mailing address

386 Merrimack St Ste 1C
Methuen, MA 01844-5886
Phone (978) 688-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190201002532 MA Practitioner - Family Practice 1951628247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

1 Brookline PL
Suite 623
Brookline, MA 02445-7294
Phone (617) 754-5900

Hospital & facility affiliations

  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Dec 23, 2018 Accepting new patients

Locations

1 Brookline Pl
Ste 623
Brookline, MA 02445
Phone (617) 731-0227

386 Merrimack St
Ste 1C
Methuen, MA 01844
Phone (978) 688-1220

386 Merrimack St
Methuen, MA 01844
Phone (978) 688-1220

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: sjee125968@direct.bilh.masshiway.net

Organizations & group practices 1

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

Hospital & facility affiliations 7

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": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1073889226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 MERRIMACK ST STE 1C",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445886",
            "telephone_number": "978-688-1220",
            "fax_number": "978-688-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 MERRIMACK ST STE 1C",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445886",
            "telephone_number": "978-688-1220",
            "fax_number": "978-688-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEE",
        "first_name": "SUNG BAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "17111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.