Individual provider Active NPI

Jonathan Y Lee, MD

  • Plastic Surgery Physician
  • Springfield, MA
National Provider Identifier
1508182296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
272484 Issued in MA
Practice address
2 Medical Center Dr Ste 309
Springfield, MA 01107-1271
Phone
(413) 794-5363
Fax
(413) 794-4520
NPI assigned
Apr 20, 2010
Last updated
Jul 21, 2022By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 272484 MA Primary

Addresses

Primary practice location

2 Medical Center Dr Ste 309
Springfield, MA 01107-1271

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160520000306 PA Practitioner - Plastic and Reconstructive Surgery 4284923822 Reassigns benefits to 1 organization
I20170906003251 MA Practitioner - Plastic and Reconstructive Surgery 4284923822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

2 Medical Ctr Dr
Springfield, MA 01107-1270
Phone (413) 794-8020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision103
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Apr 9, 2016 Accepting new patients
Shriners Hospitals for Children Plastic Surgery CurrentSince Jun 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 9, 2016 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Aug 17, 2017 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
The Shriners' Hospital for Children Past Accepting new patients

Locations

2 Medical Center Dr
Springfield, MA 01107
Phone (413) 781-5735

2 Medical Center Dr
Ste 206
Springfield, MA 01107
Phone (413) 784-8484

2 Medical Center Dr
Ste 309
Springfield, MA 01107
Phone (413) 794-8020

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508182296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR STE 309",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071271",
            "telephone_number": "413-794-5363",
            "fax_number": "413-794-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "272484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.