NPIMap

Individual provider Active NPI

CHI Keung Lee, MD

  • Pediatric Urology Physician
  • Berkeley, CA
National Provider Identifier
1194883769
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
G083839 Issued in CA
Practice address
2999 Regent St
#612
Berkeley, CA 94705-2146
Phone
(510) 848-1733
Fax
(510) 848-8224
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 9

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

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PC 232 clinicians
Golden Gate Urology Inc 12 clinicians

Practice addresses (Care Compare)

2186 Geary Blvd
Suite 320
San Francisco, CA 94115-3457
Phone (415) 749-6900

2999 Regent St
Suite 612
Berkeley, CA 94705-2121
Phone (510) 848-1727

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090317000391 CA Practitioner - Urology 7416014535 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G083839CAMDPediatric Urology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
San Francisco Urology Med GR Current Accepting new patients
Golden Gate Urology Inc CurrentSince Aug 15, 2009 Accepting new patients
Golden Gate Urology Inc CurrentSince Aug 15, 2009 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2999 Regent St
Ste 612
Berkeley, CA 94705
Phone (510) 848-1727

Dept LA 23565
Pasadena, CA 91185
Phone (415) 543-2830

2186 Geary Blvd
Ste 214
San Francisco, CA 94115
Phone (415) 922-3047

2100 Webster St
Ste 222
San Francisco, CA 94115
Phone (415) 202-0250

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clee116513@hisp.ehr.sutterhealth.org

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X G083839 CA Primary

Addresses

Primary practice location

2999 Regent St
#612
Berkeley, CA 94705-2146

Mailing address

2999 Regent St Ste 612
Berkeley, CA 94705-2121
Phone (510) 848-1727

Other identifiers 1

IdentifierTypeStateIssuer
YYY49005YMedicaidCA

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1194883769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052121",
            "telephone_number": "510-848-1727",
            "fax_number": "510-848-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "#612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052146",
            "telephone_number": "510-848-1733",
            "fax_number": "510-848-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHI",
        "middle_name": "KEUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "G083839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY49005Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.