Individual provider Active NPI

Andrew Joon Hyung Lee, M.D. PHD.

  • Surgical Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1114214707
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD467101 Issued in PA
Practice address
5150 Centre Ave Ste 417
Pittsburgh, PA 15232-1309
Phone
(412) 692-2852
Fax
(412) 692-2520
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q7225 TX
Surgery Physician 208600000X 125.059653 IL
Surgical Oncology Physician 2086X0206X MD467101 PA Primary

Addresses

Primary practice location

5150 Centre Ave Ste 417
Pittsburgh, PA 15232-1309

Mailing address

5150 Centre Ave Ste 417
Pittsburgh, PA 15232-1309
Phone (412) 692-2852

Other practice location 1

University drive C
Surgery Service Line
Pittsburgh, PA 15240-1003
Phone (412) 688-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 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
I20190729001465 PA Practitioner - General Surgery 4284937509 Reassigns benefits to 1 organization
I20220519001167 CA Practitioner - Surgical OncologyPractitioner - General Surgery 4284937509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

280 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000

Hospital & facility affiliations

  • Kaiser Foundation Hospital-San Jose Hospital, San Jose, CA, CCN 050604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.059653ILMDSurgery Physician
Q7225TXMDSurgery Physician
MD467101PAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2019 Accepting new patients
Permanente Medical Group Inc Surgery CurrentSince May 2, 2022 Accepting new patients
Permanente Medical Group Inc Surgery Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Permanente Medical Group, Inc CurrentSince May 2, 2022 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

280 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-3100

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Organizations & group practices 6

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 1

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1114214707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVE STE 417",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321309",
            "telephone_number": "412-692-2852",
            "fax_number": "412-692-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVE STE 417",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321309",
            "telephone_number": "412-692-2852",
            "fax_number": "412-692-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University drive C",
            "address_2": "Surgery Service Line",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152401003",
            "country_code": "US",
            "telephone_number": "412-688-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "middle_name": "JOON HYUNG",
        "name_prefix": "Dr.",
        "credential": "M.D. PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q7225",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.059653",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD467101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.