Individual provider Active NPI

Min Jie Lee, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1205223310
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.152840 Issued in IL
Practice address
1931 N Halsted St
Chicago, IL 60614-5008
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD60836505 WA
Pediatrics Physician 208000000X 036.152840 IL Primary

Addresses

Primary practice location

1931 N Halsted St
Chicago, IL 60614-5008

Mailing address

2475 140TH Ave NE
Bellevue, WA 98005-1892

Other practice location 1

2700 Northup Way
Bellevue, WA 98004-1463
Phone (425) 827-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200803001439 IL Practitioner - Pediatric Medicine 2668897000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

1931 N Halsted St
Chicago, IL 60614-5008
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60836505WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
One Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Rush Oak Park Physicians Group Lake Street Pediatrics Past Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics Past Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

415 N La Salle Dr
Ste 100
Chicago, IL 60654
Phone (312) 219-2231

1931 N Halsted St
Chicago, IL 60614
Phone (312) 998-5510

730 Waukegan Rd
Deerfield, IL 60015

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1205223310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145008",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Northup Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041463",
            "country_code": "US",
            "telephone_number": "425-827-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIN JIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60836505",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.152840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.