Active NPI
Peter Hongkyun Lee, M.D.
- Diagnostic Radiology Physician
- Burlington, MA
National Provider Identifier
1205846151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 226819
- Practice address
- 41 Mall Rd Lahey Hospital and Medical Ctr
Burlington, MA 01805-2961 - Phone
- (781) 744-8170
- Fax
- (781) 744-5232
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 226819 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd Lahey Hospital and Medical Ctr
Burlington, MA 01805-2961
Mailing address
2527 Cranberry Hwy
Provider Relations Dept.
Wareham, MA 02571-1046
Phone (800) 841-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11721437 | Other | CAQH | |
| 110075779A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bih Radiologic Foundation Inc | Diagnostic Radiology | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205846151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 CRANBERRY HWY",
"address_2": "PROVIDER RELATIONS DEPT.",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711046",
"telephone_number": "800-841-5200",
"fax_number": "508-273-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD LAHEY HOSPITAL AND MEDICAL CTR",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018052961",
"telephone_number": "781-744-8170",
"fax_number": "781-744-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PETER",
"middle_name": "HONGKYUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "226819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11721437",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110075779A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.