Individual provider Active NPI

Junsoo Alexander Lee, MD

  • Internal Medicine Physician
  • Reston, VA
National Provider Identifier
1427283563
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101250996 Issued in VA
Practice address
1830 Town Center Dr Ste 405
Reston, VA 20190-3218
Phone
(703) 481-9191
Fax
(571) 423-5082
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101250996 VA
Interventional Cardiology Physician 207RI0011X 0101250996 VA
Internal Medicine Physician 207R00000X 0101250996 VA Primary

Addresses

Primary practice location

1830 Town Center Dr Ste 405
Reston, VA 20190-3218

Mailing address

1830 Town Center Dr Ste 405
Reston, VA 20190-3218
Phone (703) 481-9191

Other identifiers 1

IdentifierTypeStateIssuer
0101250996OtherVAVIRGINIA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170524001809 DC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3072769140 Reassigns benefits to 3 organizations
I20170602002030 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3072769140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Reston Hospital Center LLCGroup PAC ID 4587602255, 10 clinicians

Practice addresses (Care Compare)

1830 Town Ctr Dr
Reston, VA 20190-3292
Phone (703) 481-3165

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000

3300 Gallows Rd
Falls Church, VA 22042-3307

44084 Riverside Pkwy
Suite 150
Lansdowne, VA 20176-5158
Phone (703) 858-3185

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250996VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Inova Health Care Services CurrentSince Dec 1, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince May 26, 2017 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince May 26, 2017 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Inova Health Care Services CurrentSince Dec 1, 2018 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

20905 Professional Plz
Ste 110
Ashburn, VA 20147
Phone (703) 726-0003

3025 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (571) 405-6882

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1830 Town Center Dr
Ste 405
Reston, VA 20190
Phone (202) 877-7685

1945 Old Gallows Rd
Ste 405
Vienna, VA 22182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: junsoo.lee.1@8042.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427283563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 405",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903218",
            "telephone_number": "703-481-9191",
            "fax_number": "571-423-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 405",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903218",
            "telephone_number": "703-481-9191",
            "fax_number": "571-423-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNSOO",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101250996",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101250996",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101250996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0101250996",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.