Active NPI
Donald Joungtae Lee, D.O.
- Family Medicine Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102203089
- Practice address
- 44084 Riverside Pkwy
Suite 300
Leesburg, VA 20176-5102 - Phone
- (703) 724-7530
- Fax
- (703) 858-2870
- NPI assigned
- Jan 22, 2007
- Last updated
- Oct 25, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.117047 | IL | |
| Family Medicine Physician | 207Q00000X | 0102203089 | VA | Primary |
Addresses
Primary practice location
44084 Riverside Pkwy
Suite 300
Leesburg, VA 20176-5102
Mailing address
PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20955 Professional PLZ
Suite 200
Ashburn, VA 20147-3405
Phone (703) 729-7652
44084 Riverside Pkwy
Suite 300
Leesburg, VA 20176-5102
Phone (703) 724-7530
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.117047 | IL | MD | Family Medicine Physician |
| 0102203089 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
44084 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 724-7530
Interoperability endpoints
- donald.lee@lmg1.eclinicaldirectplus.com
Organizations & group practices 3
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 Loudoun Medical Group, PC 'D'
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1396899852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17334",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212971334",
"telephone_number": "703-443-6717",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44084 RIVERSIDE PKWY",
"address_2": "SUITE 300",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765102",
"telephone_number": "703-724-7530",
"fax_number": "703-858-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DONALD",
"middle_name": "JOUNGTAE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.117047",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102203089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.