NPIMap

Individual provider Active NPI

Jae Yong Lee, DO LLC

  • Internal Medicine Physician
  • Centennial, CO
National Provider Identifier
1114918588
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41591 Issued in CO
Practice address
14100 E Arapahoe Rd
Suite 360
Centennial, CO 80112-4028
Phone
(303) 699-3197
Fax
(303) 699-3186
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41591 CO Primary

Addresses

Primary practice location

14100 E Arapahoe Rd
Suite 360
Centennial, CO 80112-4028

Mailing address

14100 E Arapahoe Rd
Suite 360
Centennial, CO 80112-4028
Phone (303) 699-3197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040212000353 CO Practitioner - Internal Medicine 5395648455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14100 E Arapahoe Rd
Suite 370
Centennial, CO 80112-4048
Phone (303) 699-3197

Hospital & facility affiliations

  • Berkley Home Health Home health agency, Aurora, CO, CCN 067407
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as apm
Quality
80.87
Promoting interoperability
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41591COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jae Yong Lee DO LLC Internal Medicine CurrentSince May 13, 2003 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients
Heidi W Tessler MD PC Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Locations

14100 E Arapahoe Rd
Ste 370
Centennial, CO 80112
Phone (303) 699-3197

14100 E Arapahoe Rd
Ste 360
Centennial, CO 80112
Phone (303) 680-8433

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1114918588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE 360",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-699-3197",
            "fax_number": "303-699-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE 360",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-699-3197",
            "fax_number": "303-699-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "YONG",
        "credential": "DO LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.