Andrew Dongjun Lee, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2010-00295 Issued in NC

Practice address

690 Parkwood Medical Park
Elkin, NC 28621-2487

Phone

(336) 835-0165

Fax

(336) 835-0170

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Dermatology

Education

University of Hawaii John a. Burns School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hugh Chatham Memorial Hospital, Inc.Group PAC ID 2062311442, 75 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.61 of 100Reported as apm

Quality

88.93

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hugh Chatham Memorial Hospital, Inc.

  dba Clingman Medical Center

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment Care Compare group NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Yadkin Valley Pulmonary and Critical Care

  • Pulmonary Disease Physician
  • Jonesville, NC
  • NPI 1205061256
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Tri-County Orthopedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Hugh Chatham Family Medicine

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1134372477
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1518154889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 PARKWOOD MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212487",
            "telephone_number": "336-835-0165",
            "fax_number": "336-835-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 PARKWOOD MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212487",
            "telephone_number": "336-835-0165",
            "fax_number": "336-835-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "middle_name": "DONGJUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2010-00295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914927",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarba Kundu, MD
• Lamp on a Stand Life Center LLC
• Kristin Clickett Laster, CRNA
• Steven Jay Lavine, MD
• Mark Edward Lawson, CRNA
• Christy Jones Leupold, NP
• Jeannette A. Loman, DO
• Crystal Blevins Luffman, APRN, PMHNP
• Laura Ann Luttio, PA
• Jonathan Douglas Lyday, AGPCNP

• Dermatology Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.