Individual provider Active NPI

Insun Lee, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
National Provider Identifier
1447499199
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A119066 Issued in CA
Practice address
5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Phone
(858) 571-3630
Fax
(858) 295-3948
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A119066 CA Primary
Anesthesiology Physician 207L00000X A119066 CA

Addresses

Primary practice location

5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338

Mailing address

1676 El Camino del Teatro
La Jolla, CA 92037-6338
Phone (917) 526-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20131104000612 CA Practitioner - AnesthesiologyPractitioner - Pain Management 5799910592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Columbia University College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paul E Kim MD IncGroup PAC ID 1052366531, 2 clinicians

Practice addresses (Care Compare)

8352 Clairemont Mesa Blvd
Suite a
San Diego, CA 92111-1302
Phone (619) 543-0144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119066CAMDMarriage & Family Therapist
A119066CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary C Cohen MD Apc CurrentSince Dec 1, 2023 Accepting new patients
Zachary C Cohen MD Apc CurrentSince Dec 1, 2023 Accepting new patients
John Qian M.D. Inc. CurrentSince Apr 10, 2021 Accepting new patients
John Qian M.D. Inc. CurrentSince Apr 10, 2021 Accepting new patients
Paul E Kim MD Inc Pain Medicine CurrentSince Feb 15, 2024 Accepting new patients

Locations

8352 Clairemont Mesa Blvd
Ste A
San Diego, CA 92111
Phone (619) 543-0144

3549 Camino del Rio S
Ste A
San Diego, CA 92108
Phone (619) 543-0144

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

Interoperability endpoints

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1447499199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 EL CAMINO DEL TEATRO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376338",
            "telephone_number": "917-526-0740",
            "fax_number": "586-204-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "INSUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A119066",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A119066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.