Individual provider Active NPI

Swan Lee, M.D.

  • Hospitalist Physician
  • Evanston, IL
National Provider Identifier
1376079707
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036153804 Issued in IL
Practice address
2650 Ridge Ave
Im Hospitalists Ste 4210
Evanston, IL 60201-1718
Phone
(847) 570-1010
Fax
(847) 733-5108
NPI assigned
May 4, 2017
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 036153804 IL
Hospitalist Physician 208M00000X 80194 CT
Hospitalist Physician 208M00000X 036153804 IL Primary
Hospitalist Physician 208M00000X 334849 NY
Hospitalist Physician 208M00000X A178141 CA

Addresses

Primary practice location

2650 Ridge Ave
Im Hospitalists Ste 4210
Evanston, IL 60201-1718

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-1010

Other practice location 1

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, CT, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200812001515 IL Practitioner - HospitalistPractitioner - Internal Medicine 0446524722 Reassigns benefits to 1 organization
I20221110001662 CA Practitioner - HospitalistPractitioner - Internal Medicine 0446524722 Reassigns benefits to 1 organization
I20250425000275 CT Practitioner - Hospitalist 0446524722 Reassigns benefits to 1 organization
I20251030001585 NY Practitioner - Hospitalist 0446524722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, shared by 11 NPIs, 1,045 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80194CTMDHospitalist Physician
334849NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Apr 7, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 4, 2020 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
New York Medical Physician Associates PC Internal Medicine Current Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 4210
Evanston, IL 60201
Phone (847) 570-1010

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

Interoperability endpoints

  • Direct secure messaging: slee3862978@direct.trinity-health.org

Organizations & group practices 10

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 9

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1376079707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "IM HOSPITALISTS STE 4210",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135022517",
            "country_code": "US",
            "telephone_number": "315-917-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036153804",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "80194",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036153804",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "334849",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A178141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.