Individual provider Active NPI

Jiyong Lee

  • Cardiovascular Disease Physician
  • Chevy Chase, MD
National Provider Identifier
1235516014
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD046103 Issued in DC
Practice address
5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401
Phone
(301) 656-5050
Fax
(301) 654-4237
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD046103 DC Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401

Mailing address

5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401
Phone (301) 656-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20211011002589 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315345022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiocare LLCGroup PAC ID 1254332729, 16 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 700
Chevy Chase, MD 20815-4401
Phone (301) 656-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.67 of 100Reported as individual
Quality
75
Promoting interoperability
0
Improvement activities
40
Cost
63.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiocare LLC CurrentSince Sep 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 700
Chevy Chase, MD 20815
Phone (301) 654-6442

19851 Observation Dr
Ste 225
Germantown, MD 20876
Phone (301) 654-0142

7811 Montrose Rd
Ste 520
Rockville, MD 20854
Phone (301) 656-5050

Interoperability endpoints

  • Direct secure messaging: jlee864815@direct.hopkinsmedicine.org

Organizations & group practices 2

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 4

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1235516014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154401",
            "telephone_number": "301-656-5050",
            "fax_number": "301-654-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154401",
            "telephone_number": "301-656-5050",
            "fax_number": "301-654-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIYONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD046103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.