NPIMap

Individual provider Active NPI

Jongwon Lee, MD

  • Diagnostic Radiology Physician
  • Indiana, PA
National Provider Identifier
1477512465
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD061217L Issued in PA
Practice address
835 Hospital Rd
Indiana, PA 15701-3629
Phone
(724) 357-7125
Fax
(724) 357-7482
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD061217L PA
Diagnostic Ultrasound Physician 2085U0001X MD061217L PA
Nuclear Radiology Physician 2085N0904X 206134 NY
Pediatric Radiology Physician 2085P0229X MD061217L PA
Vascular & Interventional Radiology Physician 2085R0204X MD061217L PA
Diagnostic Radiology Physician 2085R0202X 206134 NY
Diagnostic Radiology Physician 2085R0202X MD061217L PA Primary
Nuclear Radiology Physician 2085N0904X MD061217L PA

Addresses

Primary practice location

835 Hospital Rd
Indiana, PA 15701-3629

Mailing address

7 Acee Dr
Natrona Heights, PA 15065-9700
Phone (800) 223-5544

Other identifiers 3

IdentifierTypeStateIssuer
0016944340001MedicaidPA
300086437OtherRR MEDICARE
277941OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040217000101 PA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2668367970 Reassigns benefits to 2 organizations
I20260604002085 NY Practitioner - Diagnostic Radiology 2668367970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061217LPAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Field Imaging, P.C. Diagnostic Radiology CurrentSince Sep 9, 2013 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Jan 23, 2025 Accepting new patients
Indiana Regional Medical Center Pharmacy Past Accepting new patients
Radiologic Consultants, LTD Diagnostic Radiology Past Accepting new patients
Radiologic Consultants LTD Diagnostic Radiology Past Accepting new patients
Armstrong Pathology Asso PC Past Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

995 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 920-1700

1895 Jefferson Rd
Rices Landing, PA 15357
Phone (724) 883-2223

Interoperability endpoints

  • Direct secure messaging: jlee1001970@direct.ahn.org

Organizations & group practices 7

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 9

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1477512465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ACEE DR",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150659700",
            "telephone_number": "800-223-5544",
            "fax_number": "724-294-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-7125",
            "fax_number": "724-357-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONGWON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD061217L",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PA",
            "license": "MD061217L",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "206134",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PA",
            "license": "MD061217L",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD061217L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "206134",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD061217L",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD061217L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016944340001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300086437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "277941",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.