Individual provider Active NPI

Han Shik Lee, M.D.

  • Anesthesiology Physician
  • Flushing, NY
National Provider Identifier
1235168964
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
185465 Issued in NY
Practice address
14021 32ND Ave
Suite C1
Flushing, NY 11354-2613
Phone
(718) 224-1600
Fax
(718) 224-8085
NPI assigned
Jul 3, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 185465 NY
Anesthesiology Physician 207L00000X 185465 NY Primary

Addresses

Primary practice location

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613

Mailing address

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613
Phone (718) 224-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040409000325 NY Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8921092370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-Star Physician LLCGroup PAC ID 7012152408, 3 clinicians

Practice addresses (Care Compare)

14021 32ND Ave
Suite C1
Flushing, NY 11354-2645
Phone (718) 224-1600

Merit-based Incentive Payment System (MIPS)

Final score
98.18 of 100Reported as group
Quality
95.45
Promoting interoperability
99
Improvement activities
40
Cost
82.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185465NYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Star Physician, LLC Anesthesiology CurrentSince Aug 9, 2010 Accepting new patients
Ny Monitored Anesthesia Care PC Anesthesiology CurrentSince Jun 1, 2014 Accepting new patients
Interventional Pain Medicine PC CurrentSince Sep 8, 2011 Accepting new patients
Mac Anesthesia, PC Anesthesiology CurrentSince Sep 8, 2011 Accepting new patients
Han Shik Lee MD PC CurrentSince Feb 11, 2005 Accepting new patients
TJH Medical Services, P.C. Anesthesiology Past Accepting new patients

Locations

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

14021 32nd Ave
Ste C1
Flushing, NY 11354
Phone (718) 224-1600

4324 220th Pl
Flushing, NY 11361
Phone (718) 224-1600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: han.lee.1@14966.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1235168964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HAN",
        "middle_name": "SHIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "185465",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.