Individual provider Active NPI

Jae In Lee, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Leesburg, VA
National Provider Identifier
1083971410
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101268762 Issued in VA
Practice address
19450 Deerfield Ave Ste 100
Leesburg, VA 20176-6821
Phone
(571) 350-3668
Fax
(703) 729-2689
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101268762 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101268762 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 100
Leesburg, VA 20176-6821

Mailing address

2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688

Other practice location 1

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other practice location 3

2901 Telestar Ct Ste 150
Falls Church, VA 22042-1260
Phone (703) 208-9790

Other practice location 4

2901 Telestar Ct Ste 100
Falls Church, VA 22042-1260
Phone (703) 573-3494

Other practice location 5

1005 N Glebe Rd Ste 750
Arlington, VA 22201-5766
Phone (703) 524-7202

Other practice location 6

24430 Stone Springs Blvd Unit 425
Dulles, VA 20166-2271
Phone (703) 722-5860

Other practice location 7

2901 Telestar Ct Ste 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

Other practice location 8

205 Hirst Rd Ste 101
Purcellville, VA 20132-6199
Phone (703) 723-8664

Other practice location 9

1850 Town Center Pkwy Ste 550
Reston, VA 20190-3300
Phone (703) 437-5977

Other practice location 10

130 Park St SE Ste 100
Vienna, VA 22180-4626
Phone (703) 281-1265

Other practice location 11

3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764
Phone (703) 648-3266

Other practice location 12

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other practice location 13

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Other practice location 14

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (703) 437-5977

Other practice location 15

44035 Riverside Pkwy Ste 400
Leesburg, VA 20176-8260
Phone (703) 858-5421

Other practice location 16

24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (703) 722-5860

Other practice location 17

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 524-7202

Other practice location 18

2901 Telestar Ct Ste 100
Falls Church, VA 22042-1261
Phone (703) 208-9797

Other names 1

  • Dr. Jeff Lee Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlee716532@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200812001452 VA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507112653 Reassigns benefits to 1 organization
I20200813000760 DC Practitioner - Cardiac ElectrophysiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6507112653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5766

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4320 Seminary Rd
Alexandria, VA 22304-1535

44035 Riverside Pkwy
Suite 400
Leesburg, VA 20176-8260
Phone (703) 858-5421

4825 Mark Ctr Dr
Suite 150
Alexandria, VA 22311-1846
Phone (703) 751-8111

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair70
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 13, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Jul 13, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jul 13, 2020 Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1005 N Glebe Rd
Ste 750
Arlington, VA 22201
Phone (703) 524-7202

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

24430 Stone Springs Blvd
Ste 425
Dulles, VA 20166
Phone (703) 722-5860

3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2901 Telestar Ct
Ste 100
Falls Church, VA 22042
Phone (703) 226-1793

2901 Telestar Ct
Ste 150
Falls Church, VA 22042
Phone (703) 208-9790

19450 Deerfield Ave
Ste 100
Leesburg, VA 20176
Phone (571) 350-3668

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

205 Hirst Rd
Ste 101
Purcellville, VA 20132
Phone (703) 723-8664

1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

130 Park St SE
Ste 100
Vienna, VA 22180
Phone (703) 281-1265

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 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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1083971410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT STE 300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421263",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766821",
            "telephone_number": "571-350-3668",
            "fax_number": "703-729-2689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
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            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
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            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
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        },
        {
            "address_1": "2901 Telestar Ct Ste 150",
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            "country_code": "US",
            "telephone_number": "703-208-9790",
            "fax_number": "703-591-0829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Telestar Ct Ste 100",
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            "postal_code": "220421260",
            "country_code": "US",
            "telephone_number": "703-573-3494",
            "fax_number": "703-573-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 N Glebe Rd Ste 750",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015766",
            "country_code": "US",
            "telephone_number": "703-524-7202",
            "fax_number": "703-516-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24430 Stone Springs Blvd Unit 425",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662271",
            "country_code": "US",
            "telephone_number": "703-722-5860",
            "fax_number": "703-591-1445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Telestar Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421262",
            "country_code": "US",
            "telephone_number": "703-573-3494",
            "fax_number": "703-573-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Hirst Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201326199",
            "country_code": "US",
            "telephone_number": "703-723-8664",
            "fax_number": "703-858-9573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Town Center Pkwy Ste 550",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903300",
            "country_code": "US",
            "telephone_number": "703-437-5977",
            "fax_number": "703-478-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Park St SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804626",
            "country_code": "US",
            "telephone_number": "703-281-1265",
            "fax_number": "703-255-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 Joseph Siewick Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331764",
            "country_code": "US",
            "telephone_number": "703-648-3266",
            "fax_number": "703-648-3264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903204",
            "country_code": "US",
            "telephone_number": "703-437-5977",
            "fax_number": "703-478-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44035 Riverside Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201768260",
            "country_code": "US",
            "telephone_number": "703-858-5421",
            "fax_number": "703-858-9573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24440 Stone Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662247",
            "country_code": "US",
            "telephone_number": "703-722-5860",
            "fax_number": "703-722-5861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N George Mason Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053610",
            "country_code": "US",
            "telephone_number": "703-524-7202",
            "fax_number": "703-516-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Telestar Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421261",
            "country_code": "US",
            "telephone_number": "703-208-9797",
            "fax_number": "703-591-0829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "IN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101268762",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101268762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlee716532@soc.inova.org",
            "affiliation": "N",
            "address_1": "19450 Deerfield Ave Ste 100",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201766821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.