Individual provider Active NPI

Dong Hee Lee, M.D.

  • Vascular Surgery Physician
  • Sherman Oaks, CA
National Provider Identifier
1396064796
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
C199614 Issued in CA
Practice address
5805 Sepulveda Blvd Ste 690
Sherman Oaks, CA 91411-2522
Phone
(818) 900-6480
NPI assigned
May 25, 2010
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular Surgery Physician 2086S0129X C199614 CA Primary
Vascular Surgery Physician 2086S0129X TP421 KY
Vascular Surgery Physician 2086S0129X 52772 KY

Addresses

Primary practice location

5805 Sepulveda Blvd Ste 690
Sherman Oaks, CA 91411-2522

Mailing address

800 Rose St # C225
Lexington, KY 40536-0293
Phone (859) 323-6602

Other practice location 1

740 S Limestone
Ste L104
Lexington, KY 40536
Phone (859) 257-3253

Other practice location 2

800 Rose St # C225
Lexington, KY 40536-7001
Phone (859) 323-6602

Other practice location 3

6565 Fannin St
Houston, TX 77030
Phone (713) 441-5200

Other practice location 4

6565 Fannin St
Houston, TX 77030
Phone (713) 441-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190724000902 KY Practitioner - Vascular Surgery 5991031254 Reassigns benefits to 3 organizations
I20250410002633 CA Practitioner - Vascular Surgery 5991031254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Multi-Specialty Center IncGroup PAC ID 4082953336, 16 clinicians

Practice addresses (Care Compare)

5805 Sepulveda Blvd
Suite 601
Sherman Oaks, CA 91411-2699
Phone (818) 900-6480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Leg revascularization (restoring blood flow)31
Removal of tissue77
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP421KYMDSurgical Critical Care Physician
C199614CAMDVascular Surgery Physician
52772KYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc CurrentSince Jul 1, 2019 Accepting new patients
Southern California Multi-Specialty Center Inc Vascular Surgery CurrentSince Apr 1, 2025 Accepting new patients
St Claire Medical Center, Inc CurrentSince Sep 1, 2021 Accepting new patients
Southern California Multi-Specialty Center Inc Vascular Surgery CurrentSince Apr 1, 2025 Accepting new patients
University of Kentucky CurrentSince Sep 1, 2021 Accepting new patients
St Claire Medical Center, Inc., CurrentSince Sep 1, 2021 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
University of Kentucky Past Accepting new patients

Locations

19950 Rinaldi St
Ste 101D
Porter Ranch, CA 91326
Phone (818) 488-5188

18345 Ventura Blvd
Ste 510
Tarzana, CA 91356
Phone (818) 757-7600

5805 Sepulveda Blvd
Ste 601
Van Nuys, CA 91411
Phone (818) 900-6480

5805 Sepulveda Blvd
Ste 690
Van Nuys, CA 91411
Phone (818) 900-6480

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
#C225
Lexington, KY 40536
Phone (859) 323-6346

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

425 Clinic Dr
Morehead, KY 40351
Phone (606) 784-1049

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dlee21640@ukhcdirect.org
  • Direct secure messaging: dlee3749234@oc.providencedirect.org

Organizations & group practices 8

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 4

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1396064796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # C225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 690",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-900-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone",
            "address_2": "Ste L104",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-257-3253",
            "fax_number": "859-257-7603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St # C225",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-323-6602",
            "fax_number": "859-323-6840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-441-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-441-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DONG HEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C199614",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "TP421",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "52772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.