Individual provider Active NPI

Changhee Lee

  • Nuclear Imaging & Therapy Physician
  • Madison, WI
National Provider Identifier
1316696396
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
83772 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-1465
Phone
(608) 263-9729
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 83772 WI Primary
Nuclear Radiology Physician 2085N0904X 83772-20 WI

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-1465

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

749 University Row Ste 200
Madison, WI 53705-1465
Phone (608) 263-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clee1227618@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240617002781 WI Practitioner - Nuclear Medicine 5092195412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
80.51
Promoting interoperability
91
Improvement activities
40
Cost
78.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83772WIMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin System Non Payroll CurrentSince Jul 15, 2024 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jul 15, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 15, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 15, 2024 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1620 Mehta Ln
Fort Atkinson, WI 53538
Phone (920) 563-5544

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

1111 Highland Ave
Madison, WI 53705
Phone (608) 265-3596

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 5

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 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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1316696396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921465",
            "telephone_number": "608-263-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "749 University Row Ste 200",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537051465",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHANGHEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "WI",
            "license": "83772",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "WI",
            "license": "83772-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clee1227618@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537921465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.