Individual provider Active NPI

Jonathan C Lee, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1205190147
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01073121A Issued in IN
Practice address
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone
(260) 432-1568
Fax
(260) 432-4969
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 62743 WI
Vascular & Interventional Radiology Physician 2085R0204X 62743 WI
Vascular & Interventional Radiology Physician 2085R0204X 01073121A IN Primary
Diagnostic Radiology Physician 2085R0202X 01073121A IN

Addresses

Primary practice location

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233

Mailing address

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140204001359 IN Practitioner - Diagnostic RadiologyPractitioner - Family Practice 9537398086 Reassigns benefits to 8 organizations
I20250722003095 MI Practitioner - Diagnostic Radiology 9537398086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Kosciusko Medical Group LLCGroup PAC ID 5496809956, 41 clinicians
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

1206 E National Ave
St. Vincent Clay Hospital
Brazil, IN 47834-2718
Phone (260) 469-8223

2209 Turnberry LN
Fort Wayne, IN 46814-9354
Phone (269) 781-4271

2235 Dubois Dr
Warsaw, IN 46580-3212
Phone (574) 267-8189

2518 E Dupont Rd
Womens Health Advantage
Fort Wayne, IN 46825-1675
Phone (260) 969-6882

2520 E Dupont Rd
Dupont Hospital
Fort Wayne, IN 46825-1675
Phone (260) 416-3000

275 W 12TH St
Dukes Memorial Hospital
Peru, IN 46970-1638
Phone (765) 472-8000

3007 Covington Farms Rd
Fort Wayne, IN 46814-7572
Phone (260) 432-1568

303 S Main St
Bluffton Regional Medical Center
Bluffton, IN 46714-2503
Phone (260) 824-3210

3700 Washington Ave
Evansville, IN 47714-0541
Phone (260) 432-1568

412 N Monroe St
St. Vincent Williamsport Hospital
Williamsport, IN 47993-1049
Phone (260) 469-8223

441 N Wabash Ave
Marion, IN 46952-2612
Phone (260) 432-1568

473 E Greenville Ave
Winchester, IN 47394-9436
Phone (260) 469-8223

5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568

6515 Stellhorn Rd
Fort Wayne, IN 46815-5436
Phone (260) 432-1568

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 432-1568

7601 W Jefferson
Fort Wayne Orthopaedics
Fort Wayne, IN 46804-4133
Phone (260) 436-8686

7631 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-7770

7900 W Jefferson Blvd
104 Interventional Clinic
Fort Wayne, IN 46804-4128
Phone (260) 435-7951

7910 W Jefferson Blvd
Suite 108
Fort Wayne, IN 46804-4159
Phone (260) 436-0800

7950 W Jefferson Blvd
Lutheran Hospital of Fort Wayne
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7952 W Jefferson Blvd
Orthopaedic Hospital of Lutheran Network
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

7956 W Jefferson Blvd
120 Allied Imaging II
Fort Wayne, IN 46804-4140
Phone (260) 436-2416

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133
  • Memorial Hospital Hospital, Logansport, IN, CCN 150072
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01073121AINMDDiagnostic Radiology Physician
62743WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
American Oncology Partners PA Body Imaging CurrentSince Jan 2, 2025 Accepting new patients
Ella E M Brown Charitable Circle Current Accepting new patients
Henry County Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients
Major Hospital Current Accepting new patients
Greene County General Hospital Current Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Kosciusko Medical Group LLC CurrentSince Jul 1, 2021 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Feb 23, 2025 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Henry County Memorial Hospital Body Imaging CurrentSince Jul 1, 2019 Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830

5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040

3524 N Meridian St
Indianapolis, IN 46208
Phone (317) 496-7137

3266 N Meridian St
Ste 101
Indianapolis, IN 46208
Phone (317) 925-0653

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383

2235 Dubois Dr
Warsaw, IN 46580
Phone (260) 423-2567

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Organizations & group practices 12

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 8

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1205190147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "62743",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "62743",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01073121A",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01073121A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.