Individual provider Active NPI

Ho Won Lee, M.D.

  • Nephrology Physician
  • Tacoma, WA
National Provider Identifier
1184821225
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
60448468 Issued in WA
Practice address
1901 S Union Ave
Suite B-7011
Tacoma, WA 98405-1702
Phone
(253) 627-5755
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 60448468 WA Primary

Addresses

Primary practice location

1901 S Union Ave
Suite B-7011
Tacoma, WA 98405-1702

Mailing address

1901 S Union Ave
Suite B-7011
Tacoma, WA 98405-1702
Phone (253) 627-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140716000198 WA Practitioner - Nephrology 5294905048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Nephrology Associates PSGroup PAC ID 3476441445, 6 clinicians

Practice addresses (Care Compare)

33801 1St Way S
Suite 209
Federal Way, WA 98003-6224
Phone (253) 627-5755

4545 PT Fsdick Dr NW
Suite 250
Gig Harbor, WA 98335-1700
Phone (253) 267-5755

Hospital & facility affiliations

  • Fresenius Kidney Care Mt Rainier Dialysis facility, Fircrest, WA, CCN 502591
  • Fresenius Kidney Care South Tacoma Dialysis facility, Tacoma, WA, CCN 502590
  • DaVita Rainier View Dialysis Dialysis facility, Tacoma, WA, CCN 502579
  • Fresenius Kidney Care Gig Harbor Dialysis facility, Gig Harbor, WA, CCN 502588
  • DaVita Lakewood Community Dialysis Center Dialysis facility, Lakewood, WA, CCN 502519
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60448468WAMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: hlee135387@direct.multicare.org

Organizations & group practices 1

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1184821225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B-7011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-627-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B-7011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-627-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HO WON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "60448468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.