Active NPI
Michael Jaehoon Lee, MD
- Diagnostic Radiology Physician
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 7561273
- Practice address
- 700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401 - Phone
- (208) 625-6300
- Fax
- (208) 625-6301
- NPI assigned
- Apr 17, 2015
- Last updated
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 7561273 | ID | Primary |
Addresses
Primary practice location
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Mailing address
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone (208) 625-6309
Other practice location 1
3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804
Other practice location 2
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-6360
Other practice location 3
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benewah Community Hospital
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
229 S 7TH St
FL 4
St Maries, ID 83861-1803
Phone (208) 245-7629
423 N 3Rd Ave
Sandpoint, ID 83864-1511
520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 263-0649
6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone (208) 267-3141
700 W Ironwood Dr
Suite 175
Coeur D Alene, ID 83814-4401
Phone (208) 625-6300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7561273 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoshone Medical Center | Current | Accepting new patients | |
| Bonner General Hospital, Inc | Current | Accepting new patients | |
| Bonner General Hospital Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Benewah Community Hospital | Current | Accepting new patients | |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Shoshone Medical Center | Current | Accepting new patients | |
| Benewah Community Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Boundary Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Radiology Associates of North Idaho, PA | Diagnostic Radiology | Current | Accepting new patients |
| Integra Imaging, PS | Diagnostic Radiology | Past | Accepting new patients |
Locations
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
700 W Ironwood Dr
Ste 175
Coeur D Alene, ID 83814
Phone (208) 625-6300
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221
423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441
520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649
229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591
229 S 7th St
Fl 4
St Maries, ID 83861
Phone (208) 245-7629
2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695
2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-0111
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
- https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
- mlee831304@direct.multicare.org
Organizations & group practices 19
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.
-
dba Bonner General Health
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
-
dba Kootenai Imaging
- Radiology Clinic/Center
- Coeur d'Alene, ID
- NPI 1851384416
Diagnostic Radiology
-
dba St Maries Family Medicine
- Rural Health Clinic/Center
- St Maries, ID
- NPI 1386632180
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
Diagnostic Radiology
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
-
dba Bonner General Ophthalmology
- Ophthalmology Physician
- Sandpoint, ID
- NPI 1104461649
-
dba Boundary Community Clinics
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
-
dba Bonner General Health
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1356738207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR STE 175",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144401",
"telephone_number": "208-625-6309",
"fax_number": "208-625-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR STE 175",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144401",
"telephone_number": "208-625-6300",
"fax_number": "208-625-6301"
}
],
"practiceLocations": [
{
"address_1": "3815 N Schreiber Way Unit 101",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838158434",
"country_code": "US",
"telephone_number": "208-755-2804",
"fax_number": "208-765-0277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2003 Kootenai Health Way",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838146051",
"country_code": "US",
"telephone_number": "208-625-6360",
"fax_number": "208-625-6361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Jacobs Gulch Rd",
"address_purpose": "LOCATION",
"city": "Kellogg",
"state": "ID",
"postal_code": "838372023",
"country_code": "US",
"telephone_number": "208-784-1221",
"fax_number": "208-784-0961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MICHAEL",
"middle_name": "JAEHOON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "7561273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.