Active NPI
Heather Eunjoo Lee, MD
- Otolaryngology Physician
- Rochester, NY
National Provider Identifier
1275832586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 283340
- Practice address
- 973 East Ave
Rochester, NY 14607-2216 - Phone
- (585) 244-1000
- Fax
- (585) 271-4786
- NPI assigned
- Mar 25, 2011
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Otolaryngology Physician | 207Y00000X | 283340 | NY | Primary |
Addresses
Primary practice location
973 East Ave
Rochester, NY 14607-2216
Mailing address
973 East Ave
Rochester, NY 14607-2216
Phone (585) 244-1000
Other practice location 1
973 East Ave
Ste 100
Rochester, NY 14607-2216
Phone (585) 244-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 26, 2025 through Aug 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283340 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Anesthetist Care Associates | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Rochester, NY
- NPI 1447333273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1275832586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072216",
"telephone_number": "585-244-1000",
"fax_number": "585-271-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "973 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072216",
"telephone_number": "585-244-1000",
"fax_number": "585-271-4786"
}
],
"practiceLocations": [
{
"address_1": "973 EAST AVE",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072216",
"country_code": "US",
"telephone_number": "585-244-1000",
"fax_number": "585-271-4786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "HEATHER",
"middle_name": "EUNJOO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "283340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.