Individual provider Active NPI

Michael Jaehoon Lee, MD

  • Diagnostic Radiology Physician
  • Coeur d'Alene, ID
National Provider Identifier
1356738207
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7561273 Issued in ID
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210802001802 MT Practitioner - Diagnostic Radiology 7618284639 Reassigns benefits to 3 organizations
I20230206002849 OR Practitioner - Diagnostic Radiology 7618284639 Reassigns benefits to 3 organizations
I20250122001490 ID Practitioner - Diagnostic Radiology 7618284639 Reassigns benefits to 10 organizations

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
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Benewah Community HospitalGroup PAC ID 1850200700, shared by 2 NPIs, 39 clinicians
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians
Boundary Community HospitalGroup PAC ID 3274583406, 29 clinicians
Radiology Associates of North Idaho PAGroup PAC ID 4385635150, 32 clinicians

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

LicenseStateTypeSpecialty
7561273IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Bonner General Hospital, Inc CurrentSince Mar 1, 2025 Accepting new patients
Bonner General Hospital Inc. CurrentSince Mar 1, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Benewah Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Benewah Community Hospital Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Boundary Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Boundary Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Radiology Associates of North Idaho, PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Integra Imaging, PS Diagnostic Radiology PastSince May 19, 2021 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.