Baekcheol Lee, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R207157 Issued in MD

Practice address

12401 Middlebrook Rd Ste 170
Germantown, MD 20874-1522

Phone

(240) 203-8820

Fax

(240) 349-7832

NPI assigned

Jul 30, 2018

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jca Medical Associates LLC

  • Primary Care Nurse Practitioner
  • Germantown, MD
  • NPI 1124859665

  DC

  Medicare reassignment NPD Authorized official
• Jiki Medical Associates, LLC

  • Primary Care Clinic/Center
  • Rockville, MD
  • NPI 1407043466

  DC

  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  DC

  Medicare reassignment NPD
• Varahe Health Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1811727753

  DC

  Medicare reassignment NPD
• Suburban/NRH Medical Rehabilitation Inc

  dba NRH Rehabilitation Network at Bethesda

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group
• Bayside Recovery LLC

  • Community/Behavioral Health Agency
  • Prince Frederick, MD
  • NPI 1235516469
  NPD
• BFW Group Holdings LLC

  dba BornFree Wellness Centers of America LLC

  • Community/Behavioral Health Agency
  • Germantown, MD
  • NPI 1790559136
  NPD
• Outlook Recovery, LLC

  • Community/Behavioral Health Agency
  • Callaway, MD
  • NPI 1356764898
  NPD
• Outlook Recovery, LLC

  • Community/Behavioral Health Agency
  • Callaway, MD
  • NPI 1508500208
  NPD
• Sibus Treatment Services LLC

  • Methadone Clinic
  • Elkridge, MD
  • NPI 1952881609
  NPD

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1114405537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 MIDDLEBROOK RD STE 170",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741522",
            "telephone_number": "240-203-8820",
            "fax_number": "240-349-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 MIDDLEBROOK RD STE 170",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741522",
            "telephone_number": "240-203-8820",
            "fax_number": "240-349-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19537 Doctors Dr # 1B",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745262",
            "country_code": "US",
            "telephone_number": "240-888-1118",
            "fax_number": "240-349-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21030 Point Lookout Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Callaway",
            "state": "MD",
            "postal_code": "206202339",
            "country_code": "US",
            "telephone_number": "240-237-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BAEKCHEOL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lauta, MD
• Ibukun Lawal
• Naftali Lazar
• Ajah Lea-Glover
• Yvette Ledjo
• Debra April Latoak Lee, MSN PMHN APRN B.C.
• Linda J Lee, P.T.
• Kara Lerche
• Debbie Lerner
• Christian Lester

• Family Nurse Practitioner in Germantown, MD
• Providers in Germantown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.