Active NPI
Jong O. Lee, M.D.
- Surgical Critical Care Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- L8107
- Practice address
- 815 Market St
Medical Staff Office
Galveston, TX 77550-2725 - Phone
- (409) 770-6731
- Fax
- (409) 770-6919
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | L8107 | TX | Primary |
Addresses
Primary practice location
815 Market St
Medical Staff Office
Galveston, TX 77550-2725
Mailing address
815 Market St
Medical Staff Office
Galveston, TX 77550-2725
Phone (409) 770-6731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8718B7 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Temple University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
1005 Harborside Dr
Fl 5
Galveston, TX 77555
Phone (409) 747-3376
815 Market St
Ofc
Galveston, TX 77550
Phone (409) 770-6731
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Pediatric Surgery Physician
- Galveston, TX
- NPI 1851631709
-
- Anesthesiology Physician
- Galveston, TX
- NPI 1316435563
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Children's Hospital
- Galveston, TX
- NPI 1669513941
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174631295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 MARKET ST",
"address_2": "MEDICAL STAFF OFFICE",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775502725",
"telephone_number": "409-770-6731",
"fax_number": "409-770-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 MARKET ST",
"address_2": "MEDICAL STAFF OFFICE",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775502725",
"telephone_number": "409-770-6731",
"fax_number": "409-770-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONG",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "L8107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8718B7",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.