Individual provider Active NPI

John Kim Lee

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1497240220
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A167333 Issued in CA
Practice address
100 UCLA Medical Plaza Suite 425
Los Angeles, CA 90095-1200
Phone
(310) 794-1195
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2024-02491 NC
Neurology Physician 2084N0400X 101951 GA
Neurology Physician 2084N0400X 49162 AL
Neurology Physician 2084N0400X 0101283348 VA
Neurology Physician 2084N0400X ME169938 FL
Neurology Physician 2084N0400X 25MA12347000 NJ
Neurology Physician 2084N0400X 78972 CT
Neurology Physician 2084N0400X C1-0028413 DE
Neurology Physician 2084N0400X 16635 SD
Neurology Physician 2084N0400X 330962 NY
Neurology Physician 2084N0400X MD600001698 DC
Neurology Physician 2084N0400X A167333 CA Primary
Neurology Physician 2084N0400X MD485968 PA
Neurology Physician 2084N0400X D0102129 MD
Neurology Physician 2084N0400X 92677 SC

Addresses

Primary practice location

100 UCLA Medical Plaza Suite 425
Los Angeles, CA 90095-1200

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, CT, PA, NJ, DC, SC, VA, GA, NC, FL, SD12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20210716000489 CA Practitioner - Diagnostic RadiologyPractitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240807001510 NY Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240807001821 CT Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240812000460 PA Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240812000524 NJ Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240917000057 DC Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240917001527 SC Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20240920002248 VA Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20241024002886 GA Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20241104001079 NC Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20241107000707 FL Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization
I20250402002402 SD Practitioner - Neurology 5597177097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Drexel University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurophysiologic Interpretive Medicine PLLCGroup PAC ID 2567617616, 12 clinicians
The Regents of the University of CaliforniaGroup PAC ID 1456255959, 96 clinicians
Neurophysiologic Interpretive Specialists LLCGroup PAC ID 5496933657, 11 clinicians
Neuroshield Network SE LLCGroup PAC ID 7719243492, 10 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2000

100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500

100 Retreat Ave
Suite 302
Hartford, CT 06106-2528
Phone (973) 882-3456

1304 Sunset Blvd
West Columbia, SC 29169-5914
Phone (973) 882-3456

1330 Piccard Dr
Suite 102
Rockville, MD 20850-4372
Phone (973) 882-3456

142 S Main St
Danville, VA 24541-2922
Phone (973) 882-3456

150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (973) 882-3456

200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931

215 Anamaria Dr
Rapid City, SD 57701-7376
Phone 8883290807101

300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195

300 Medical PLZ
Los Angeles, CA 90095-0001

3201 Edwards Mill Rd
Suite 141 485
Raleigh, NC 27612-5385
Phone (888) 329-0807

400 W Peachtree St NW
Suite 400
Atlanta, GA 30308-3536
Phone (888) 329-0807

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (973) 882-3456

700 US Hwy 46
Suite 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood Blvd
Los Angeles, CA 90095-8358
Phone (310) 825-8021

9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-7000

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Quality
86.41
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49162ALMDNeurology Physician
A167333CAMDNeurology Physician
MD600001698DCMDNeurology Physician
C1-0028413DEMDNeurology Physician
ME169938FLMDNeurology Physician
101951GAMDNeurology Physician
D0102129MDMDNeurology Physician
25MA12347000NJMDNeurology Physician
92677SCMDNeurology Physician
16635SDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurophysiologic Interpretive Medicine PLLC Neurology CurrentSince Aug 4, 2024 Accepting new patients
Neuroshield Network SE LLC CurrentSince Aug 4, 2024 Accepting new patients
Neurophysiologic Interpretive Specialists LLC Neurology CurrentSince Aug 4, 2024 Accepting new patients
The Regents of the University of California Neurology CurrentSince Jul 1, 2023 Accepting new patients
The Regents of the University of California Neurology Current Accepting new patients
The Regents of the University of California CurrentSince Jul 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

100 UCLA Medical Plz
Ste 425
Los Angeles, CA 90024
Phone (310) 794-1500

100 Retreat Ave
Ste 302
Hartford, CT 06106
Phone (860) 266-1845

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

400 W Peachtree St NW
Ste 400
Atlanta, GA 30308

1330 Piccard Dr
Ste 102
Rockville, MD 20850
Phone (301) 208-7350

3201 Edwards Mill Rd
Ste 141485
Raleigh, NC 27612

700 US Highway 46
Ste 420
Fairfield, NJ 07004

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1304 Sunset Blvd
West Columbia, SC 29169
Phone (803) 594-3300

215 Anamaria Dr
Rapid City, SD 57701
Phone (605) 721-4700

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jlee803607@direct.memorialcare.org

Organizations & group practices 12

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1497240220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA SUITE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951200",
            "telephone_number": "310-794-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2024-02491",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "101951",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "49162",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101283348",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME169938",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA12347000",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "78972",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0028413",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "16635",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "330962",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD600001698",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A167333",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD485968",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0102129",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "92677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.