Individual provider Active NPI

Yong Hwa Lee, M.D.

  • Internal Medicine Physician
  • Somerville, MA
National Provider Identifier
1295849198
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81554 Issued in MA
Practice address
280 Highland Ave
Somerville, MA 02143-1324
Phone
(617) 591-4700
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81554 MA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 15837 NH

Addresses

Primary practice location

280 Highland Ave
Somerville, MA 02143-1324

Mailing address

650 Woburn St
Wilmington, MA 01887-2963
Phone (617) 591-4700

Other identifiers 1

IdentifierTypeStateIssuer
32001633MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20121003000666 NH Practitioner - Emergency Medicine 2668403882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15837NHMDEmergency Medical Services (Emergency Medicine) Physician
81554MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Jan 1, 2018 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 1, 2018 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

17 Riverside St
Ste 202
Nashua, NH 03062
Phone (603) 577-5760

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: ylee1153061@direct.bsmhealth.org

Organizations & group practices 3

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 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1295849198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WOBURN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872963",
            "telephone_number": "617-591-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HIGHLAND AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431324",
            "telephone_number": "617-591-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONG HWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81554",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NH",
            "license": "15837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32001633",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.