Individual provider Active NPI

Yi Shiuan Judy Lee, MD PHD

  • Pain Medicine (Anesthesiology) Physician
  • Okemos, MI
National Provider Identifier
1316007867
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301066320 Issued in MI
Practice address
2169 Jolly Rd
Unit 2
Okemos, MI 48864-3992
Phone
(517) 347-8228
Fax
(517) 347-8287
NPI assigned
Dec 12, 2006
Last updated
Aug 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301066320 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301066320 MI Primary

Addresses

Primary practice location

2169 Jolly Rd
Unit 2
Okemos, MI 48864-3992

Mailing address

2169 Jolly Rd
Unit 2
Okemos, MI 48864-3992
Phone (517) 347-8228

Other identifiers 9

IdentifierTypeStateIssuer
2692375OtherCIGNA
2000053OtherPHP
122833OtherMIPREFERRED CHOICES
000000008690OtherCAPE HEALTH PLAN
0503302562OtherMIBC
M0171703OtherTRICARE PGBA
122833OtherMICARE CHOICES
P00055007OtherRAILROAD MEDICARE
7823128OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050113000240 MI Practitioner - AnesthesiologyPractitioner - Pain Management 1456300839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Louisiana State University School of Medicine in Shreveport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2169 Jolly Rd
Suite 2
Okemos, MI 48864-3992
Phone (517) 347-8228

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management PLC Anesthesiology CurrentSince May 1, 2000 Accepting new patients
Michigan Pain Institute, PLLC Pain Medicine Past Accepting new patients

Locations

2169 Jolly Rd
Ste 2
Okemos, MI 48864
Phone (517) 347-8228

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFCDCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1316007867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 JOLLY RD",
            "address_2": "UNIT 2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643992",
            "telephone_number": "517-347-8228",
            "fax_number": "517-347-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 JOLLY RD",
            "address_2": "UNIT 2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643992",
            "telephone_number": "517-347-8228",
            "fax_number": "517-347-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YI SHIUAN",
        "middle_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301066320",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301066320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2692375",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "2000053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "122833",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "000000008690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0503302562",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PGBA",
            "identifier": "M0171703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "122833",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00055007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7823128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.