NPIMap

Individual provider Active NPI

Kevin Khin-Zaw Lee, MD

  • Pulmonary Disease Physician
  • Livermore, CA
National Provider Identifier
1245230333
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A73871 Issued in CA
Practice address
1133 E Stanley Blvd Ste 101
Livermore, CA 94550-4270
Phone
(925) 454-4280
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73871 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A73871 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A73871 CA
Pulmonary Disease Physician 207RP1001X A73871 CA Primary

Addresses

Primary practice location

1133 E Stanley Blvd Ste 101
Livermore, CA 94550-4270

Mailing address

1133 E Stanley Blvd Ste 101
Livermore, CA 94550-4270
Phone (925) 454-4280

Other identifiers 1

IdentifierTypeStateIssuer
00A738710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060706000254 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4284646498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73871CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Sep 13, 2023 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Stanford Health Care CurrentSince Sep 13, 2023 Accepting new patients
Affinity Medical Group Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
THC - Orange County, LLC Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1133 E Stanley Blvd
Ste 101
Livermore, CA 94550
Phone (925) 454-4280

1133 E Stanley Blvd
Ste 117
Livermore, CA 94550
Phone (925) 371-8885

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5565 W Las Positas Blvd
Ste 260
Pleasanton, CA 94588
Phone (925) 416-5470

5575 W Las Positas Blvd
Ste 130
Pleasanton, CA 94588
Phone (925) 463-0395

5565 W Las Positas Blvd
Ste 320B
Pleasanton, CA 94588
Phone (650) 725-7061

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1245230333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD STE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504270",
            "telephone_number": "925-454-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD STE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504270",
            "telephone_number": "925-454-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "KHIN-ZAW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73871",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A73871",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A73871",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A73871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A738710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.