Jung Hun Lee, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

R8562 Issued in MO

Practice address

170 Industrial Dr.
Medical Village BLDG, Suite 105
Crystal City, MO 63019

Phone

(636) 937-0817

Fax

(636) 937-8818

NPI assigned

Jul 8, 2005

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bi-State Cardiovascular Consultant PCGroup PAC ID 5193737666, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.57 of 100Reported as group

Quality

97.7

Promoting interoperability

100

Improvement activities

40

Cost

73.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFDECD

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.

• Bi-State Cardiovascular Consultant PC

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1740232859
  Medicare reassignment Care Compare group NPD
• Iron County Hospital District

  dba Iron County Medical Center

  • Critical Access Hospital
  • Pilot Knob, MO
  • NPI 1477648178
  Medicare reassignment NPD
• Jung H. Lee, Inc

  • Cardiovascular Disease Physician
  • Festus, MO
  • NPI 1558563767
  Authorized official Same address or phone
• Iron County Hospital District

  dba Iron County Hospital Family Care Clinic

  • Rural Health Clinic/Center
  • Pilot Knob, MO
  • NPI 1073799367
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1396743928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630190309",
            "telephone_number": "636-937-0817",
            "fax_number": "636-937-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INDUSTRIAL DR.",
            "address_2": "MEDICAL VILLAGE BLDG, SUITE 105",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "63019",
            "telephone_number": "636-937-0817",
            "fax_number": "636-937-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNG",
        "middle_name": "HUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton Kalna III, PHARMD
• Jack Katze
• Amy Kristine Konsewicz
• Ravi Kotha, MD
• Kristel Cherisse Kronk, MS, CCC-SLP
• Brian Lenz, MD
• Laura L Lukowski, LCSW
• Rodolfo Maceren, MD
• Velma Mata, P.A.-C
• Elena Luisa May-Plaza, APRN

• Cardiovascular Disease Physician in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.

Verify at the official NPI Registry.